Individual provider · Type 1 NPI

Nicole Marie Demaria, CNP

Critical Care Neonatal Nurse Practitioner · Worcester, MA

NPI number 1104242148 Active

Practice location

119 Belmont St
Worcester, MA 01605-2903

Fax (508) 334-6083

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN2260353 (MA)
Nurse Practitioner 363L00000XRN2260353 (MA)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XRN2260353 (MA)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1104242148

Nicole Marie Demaria, CNP's National Provider Identifier is 1104242148, issued on Mar 14, 2014. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Worcester, MA. The record was last updated on Oct 27, 2021.