Nichole Lee Tagliavento, is a
Nurse Practitioner - Psychiatric/mental Health physician based in Nashua, New Hampshire. Nichole Lee Tagliavento is licensed to practice in New Hampshire (license number EL13647) and her current practice location is 155 Main Dunstable Rd Ste 200, Nashua, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 484-6694.
NPI number for Nichole Lee Tagliavento is 1336833672 and her current mailing address is 200 Market St Apt A24, Lowell, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336833672.
Physician's Profile
Full Name | Nichole Lee Tagliavento |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 155 Main Dunstable Rd Ste 200, Nashua, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336833672
- Provider Enumeration Date: 06/08/2023
- Last Update Date: 05/10/2024
Medical Identifiers
Medical identifiers for Nichole Lee Tagliavento such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336833672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0300X | Preventive Medicine - Addiction Medicine | EL13647 (New Hampshire) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2309030 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | EL13647 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Lee Tagliavento is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nichole Lee Tagliavento, 200 Market St Apt A24, Lowell, MA 01852-1899 Ph: (781) 572-1272 | Nichole Lee Tagliavento, 155 Main Dunstable Rd Ste 200, Nashua, NH 03060-3640 Ph: (603) 484-6694 |
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