Individual provider · Type 1 NPI

Nicholas Distasio

Ambulatory Care Registered Nurse · Somerville, MA

NPI number 1134069388 Active

Practice location

40 Holland St
Somerville, MA 02144-2705

Mailing address

14 Wildwood Ave
Arlington, MA 02476-6422

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XRN2359368 (MA)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1134069388

Nicholas Distasio's National Provider Identifier is 1134069388, issued on Mar 30, 2026. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Somerville, MA. The record was last updated on Mar 30, 2026.