Provider Demographics
NPI:1821163890
Name:NOLEN, ANDREE MARCELLE (PMHNP,MSN, RN, APN-C)
Entity Type:Individual
Prefix:MS
First Name:ANDREE
Middle Name:MARCELLE
Last Name:NOLEN
Suffix:
Gender:F
Credentials:PMHNP,MSN, RN, APN-C
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Mailing Address - Street 1:3005 S LAMAR BLVD # D109-364
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8864
Mailing Address - Country:US
Mailing Address - Phone:609-356-6565
Mailing Address - Fax:
Practice Address - Street 1:7 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-889-6147
Practice Address - Fax:603-883-1568
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX461673363LP0808X
NH061541-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health