Provider Demographics
NPI:1013775287
Name:BURI, NICOLE (APRN, MSN, PMHNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:BURI
Suffix:
Gender:F
Credentials:APRN, MSN, PMHNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PICARD CIR
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2665
Mailing Address - Country:US
Mailing Address - Phone:413-668-5315
Mailing Address - Fax:
Practice Address - Street 1:17 PICARD CIR
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2665
Practice Address - Country:US
Practice Address - Phone:413-668-5315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2320107363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health