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NPI Code Detail

MEDICARE: NICHOLAS J. THAMES

MEDICARE:   NICHOLAS J. THAMES
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2341045MA
2163W00000XRegistered NurseRN2341045MA

General Provider Information

NPI Number : 1457029951
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS J. THAMES
Provider Business Mailing Address
First Line : 30 GARDNER RD APT 6E
Second Line :
City : BROOKLINE
State : MA
Zip : 02445-4555
Country : US
Telephone Number : 508-404-5732
Fax Number :
Provider Business Practice Location Address
First Line : 75 NORUMBEGA RD
Second Line :
City : WESTON
State : MA
Zip : 02493-2431
Country : US
Telephone Number : 888-616-5344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 12/03/2025

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Directions to “ NICHOLAS J. THAMES ” Practice Location

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