Provider Demographics
NPI:1427788959
Name:NADEAU, NICOLE M (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:M
Last Name:NADEAU
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PILLSBURY STREET
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-856-8275
Mailing Address - Fax:603-219-0454
Practice Address - Street 1:1 PILLSBURY STREET
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-856-8275
Practice Address - Fax:603-219-0454
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002796A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist