Most Relevant Information
Provider Data
| NPI Number: | 1003478975 |
| Provider Name: | NICOLETTE M WAITE RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 364SC1501X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | RN2332119 |
Most Important Dates
| Enumeration Date: | 07/01/2019 |
| Last Updated: | 07/01/2019 |
Provider Practice Location
300 BROADWAY
SOMERVILLE
MA
021452935
Practice Location Phone/Fax
| Phone: | 6172847000 |
| Fax: |
Provider Mailing Location
400 W 6TH ST
ELLINWOOD
KS
675261317
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |