| Nicole Gifford, NP | |
|
1800 Main Rd, Tiverton, RI 02878-4625 | |
| (401) 625-5552 | |
| Not Available |
| Full Name | Nicole Gifford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1800 Main Rd, Tiverton, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235919408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN03869 (Rhode Island) | Primary |
| 363L00000X | Nurse Practitioner | RN2334702 (Massachusetts) | Secondary |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20050502000716 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Gifford, NP 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Nicole Gifford, NP 1800 Main Rd, Tiverton, RI 02878-4625 Ph: (401) 625-5552 |
Sara Cornwell Lundberg, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Main Rd, Tiverton, RI 02878 Phone: 401-625-5552 | |
Jane C Alpert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1334 Main Road, Tiverton, RI 02878 Phone: 401-625-5552 Fax: 401-625-5277 | |
Jennifer Glynn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 State Ave, Tiverton, RI 02878 Phone: 774-300-3444 | |
Mary Catherine Polk, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 Main Rd, Tiverton, RI 02878 Phone: 508-472-1103 Fax: 800-506-1624 | |
Cody Thomas Zygmont, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 821 Main Rd, Tiverton, RI 02878 Phone: 401-625-1001 | |
Kaitlyn M Parascandolo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 Main Rd, Tiverton, RI 02878 Phone: 401-624-1400 |