Provider Demographics
NPI:1902133028
Name:GOLDER, NANCY (FNP-C, RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:GOLDER
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CABOT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2963
Mailing Address - Country:US
Mailing Address - Phone:978-562-3536
Mailing Address - Fax:978-562-4626
Practice Address - Street 1:1 CABOT RD STE 101
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2963
Practice Address - Country:US
Practice Address - Phone:978-562-3536
Practice Address - Fax:978-562-4626
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN278411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily