Provider Demographics
NPI:1932444379
Name:FERRANTE, NICOLE DARIA (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:DARIA
Last Name:FERRANTE
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:DARIA
Other - Last Name:COLUCCI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:272 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:272 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2410
Practice Address - Country:US
Practice Address - Phone:781-455-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2274359363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health