Nicole Prudent
MD | Pediatrics | Female
Nicole Prudent, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nicole Prudent is
850 Harrison Ave, Yacc5, Boston, Massachusetts - 02118-4001. She can be contacted on phone at
617-414-5946 and fax number 617-414-4541.
Nicole Prudent is a sole proprietor of her business.
NPI number (Unique professional ID) for Nicole Prudent is
1528156999 which was assigned by NPPES on 11 Oct, 2006 and it was last updated on 04 Apr, 2014.
Nicole Prudent license number is
46617 for Pediatrics (208000000X) in Massachusetts.
Nicole Prudent is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicole Prudent basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nicole Prudent |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nicole Prudent address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 850 Harrison Ave, Yacc5
Boston, MA, 02118-4001
United States |
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| Phone Number : | 617-414-5946 |
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| Fax Number : | 617-414-4541 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528156999 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Oct, 2006 |
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| Last Updated On : | 04 Apr, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Prudent are as mentioned. Primary taxonomy code for Nicole Prudent, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 46617 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Nicole Prudent such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110002610A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 720 Harrison Ave, Dob 5
Boston, MA, 02118-2371
United States |
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Business Location:
Patients can refer following map for directions to
Nicole Prudent practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.