Provider Demographics
NPI:1215738984
Name:LANGLOIS, NICOLE KATHERINE (APRN)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:KATHERINE
Last Name:LANGLOIS
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:110 ALSTEAD HILL RD
Mailing Address - Street 2:
Mailing Address - City:GILSUM
Mailing Address - State:NH
Mailing Address - Zip Code:03448-7401
Mailing Address - Country:US
Mailing Address - Phone:978-549-2028
Mailing Address - Fax:
Practice Address - Street 1:4923 US ROUTE 5
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:VT
Practice Address - Zip Code:05158-9651
Practice Address - Country:US
Practice Address - Phone:802-722-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH070874-23363LP2300X
VT101.0137787363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care