Provider Demographics
NPI:1316297690
Name:READER, NICHOLE CHARISE MARTIN (FNP)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:CHARISE MARTIN
Last Name:READER
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:NICHOLE
Other - Middle Name:C
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:10 GOODALL DR STE 900
Mailing Address - Street 2:
Mailing Address - City:EAST WATERBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04030-5233
Mailing Address - Country:US
Mailing Address - Phone:207-490-7505
Mailing Address - Fax:207-490-7529
Practice Address - Street 1:10 GOODALL DR STE 900
Practice Address - Street 2:
Practice Address - City:EAST WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04030-5233
Practice Address - Country:US
Practice Address - Phone:207-490-7505
Practice Address - Fax:207-490-7529
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP121074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily