Individual provider · Type 1 NPI

Nicole Marie Depace, NP

Gerontology Nurse Practitioner · Boston, MA

NPI number 1265749618 Active

Practice location

830 Harrison Ave, Moakley 3rd Flr
Boston, MA 02118

Fax (617) 638-5756

Mailing address

960 Massachusetts Ave, Fl 2
Boston, MA 02118

Other practice locations

  • 801 Massachusetts Avenue, Crosstown 2, Boston, MA 02118 · (617) 414-7399

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN281476 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265749618

Nicole Marie Depace, NP's National Provider Identifier is 1265749618, issued on Sep 7, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on May 20, 2026.