MEDICARE: CAROLINE NITTOLI FNP-BC

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	363LF0000X	Family Nurse Practitioner	RN2363318	MA
2	163W00000X	Registered Nurse	RN2363318	MA

General Provider Information

NPI Number	:	1972365088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE NITTOLI FNP-BC

Provider Business Mailing Address
First Line	:	560 HILLSIDE AVE STE H
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1232
Country	:	US
Telephone Number	:	781-444-4722
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 HILLSIDE AVE STE H
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-1232
Country	:	US
Telephone Number	:	781-444-4722
Fax Number	:

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

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	12/18/2025

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