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NPI Code Detail

MEDICARE: NICOLE TINA ROCRAY LACHANCE BSN, RN

MEDICARE:   NICOLE TINA ROCRAY LACHANCE  BSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN70327ME

General Provider Information

NPI Number : 1649034505
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE TINA ROCRAY LACHANCE BSN, RN
Provider Business Mailing Address
First Line : 69 YORK ST STE 4
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-7186
Country : US
Telephone Number : 207-467-3088
Fax Number : 207-371-6311
Provider Business Practice Location Address
First Line : 69 YORK ST STE 4
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-7186
Country : US
Telephone Number : 207-467-3088
Fax Number : 207-371-6311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 11/07/2025

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Directions to “ NICOLE TINA ROCRAY LACHANCE BSN, RN” Practice Location

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