Most Relevant Information
Provider Data
| NPI Number: | 1003453820 |
| Provider Name: | NICOLE AUDRA SPRING BSBA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/01/2019 |
| Last Updated: | 11/30/2021 |
Provider Practice Location
218 GILMANTON RD
BARNSTEAD
NH
032183183
Practice Location Phone/Fax
| Phone: | 6034091091 |
| Fax: |
Provider Mailing Location
181 NH ROUTE 106
GILMANTON
NH
032374925
Provider Mailing Phone/Fax
| Phone: | 6035816592 |
| Fax: |