Healthcare Provider Details

I. General information

NPI: 1013921337
Provider Name (Legal Business Name): NICOLE T NAULT CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE TEIXEIRA

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CROSSING BLVD STE 300
FRAMINGHAM MA
01702-5555
US

IV. Provider business mailing address

100 CROSSING BLVD STE 300
FRAMINGHAM MA
01702-5555
US

V. Phone/Fax

Practice location:
  • Phone: 888-964-6681
  • Fax: 339-686-2561
Mailing address:
  • Phone: 888-964-6681
  • Fax: 339-686-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA910
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number625
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: