Provider Demographics
NPI:1841431608
Name:FRENCH, NIKI ANN
Entity Type:Individual
Prefix:MRS
First Name:NIKI
Middle Name:ANN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-4302
Mailing Address - Country:US
Mailing Address - Phone:508-404-5314
Mailing Address - Fax:508-638-0830
Practice Address - Street 1:35 BAKER ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-4302
Practice Address - Country:US
Practice Address - Phone:508-404-5314
Practice Address - Fax:508-638-0830
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide