MEDICARE: ANN V NICHOLSON RNCS, RNPC

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	90943	MA

General Provider Information

NPI Number	:	1295898690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN V NICHOLSON RNCS, RNPC

Provider Business Mailing Address
First Line	:	7 CHRISTY DR
Second Line	:	SUITE 3
City	:	BROCKTON
State	:	MA
Zip	:	02301-1813
Country	:	US
Telephone Number	:	508-580-4611
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CHRISTY DR
Second Line	:	SUITE 3
City	:	BROCKTON
State	:	MA
Zip	:	02301-1813
Country	:	US
Telephone Number	:	508-580-4611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1447770524 — ADULT DAY HEALTH, INC.
Practice Location Address:

25 CHRISTY DR
BROCKTON, MA
02301-1813

Practice Phone: 508-586-2222
Practice Fax:

1639294010 — BROCKTON ADULT MEDICAL DAY CARE CENTER, INC
Practice Location Address:

25 CHRISTY DR
BROCKTON, MA
02301-1813

Practice Phone: 508-586-2222
Practice Fax: 508-586-2212

1043492846 — SOUTH SURBURBAN ONCOLOGY
Practice Location Address:

55 CHRISTY DR
BROCKTON, MA
02301-1813

Practice Phone: 508-897-1505
Practice Fax:

1598947301 — RADIATION THERPAY OF SOUTHEASTERN MA
Practice Location Address:

55 CHRISTY DR
BROCKTON, MA
02301-1813

Practice Phone: 508-897-1505
Practice Fax:

1780837427 — COMMUNITY COACH, INC,
Practice Location Address:

25 CHRISTY DR
BROCKTON, MA
02301-1813

Practice Phone: 508-586-0700
Practice Fax: 508-586-0705

1457739047 — COMMUNITY COACH, INC.
Practice Location Address:

25 CHRISTY DR
BROCKTON, MA
02301-1813

Practice Phone: 781-760-0650
Practice Fax:

Directions to “ ANN V NICHOLSON RNCS, RNPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.