Provider Demographics
NPI:1396236543
Name:RINN, NICOLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:RINN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 MAIN ST STE 400
Mailing Address - Street 2:
Mailing Address - City:S WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1889
Mailing Address - Country:US
Mailing Address - Phone:781-952-1240
Mailing Address - Fax:781-952-1240
Practice Address - Street 1:541 MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:S WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1889
Practice Address - Country:US
Practice Address - Phone:781-952-1240
Practice Address - Fax:781-952-1240
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant