Individual provider · Type 1 NPI
Lori Nicholas, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Portland, ME
NPI number
1275900102
Active
Practice location
180 Park Ave
Portland, ME 04102-2957
Fax (207) 874-2164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP151108 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1275900102
Lori Nicholas, PMHNP-BC's National Provider Identifier is 1275900102, issued on Aug 26, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Dec 13, 2017.