National Provider Identifier
Nicole M Green, PA-C
Nicole M Green, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (888) 663-6331.
Source: public NPPES record, last updated April 18, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1346297256
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 27, 2006
- Last Updated
- April 18, 2025
Practice Location
- 185 Dartmouth St Ste 603
- Boston, MA 02116-5883
Phone: (888) 663-6331
Mailing Address
- 720 Harrison Ave
- Dob 503
- Boston, MA 02118-2371
Specialties
- Physician Assistant (363A00000X)
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Biography
Nicole Green, PA-C, is a Boston-based physician assistant with One Medical at its Copley Square office. Her profile lists training at Daemen College and certification through the National Commission on Certification of Physician Assistants, and notes prior clinical experience in dermatology, otolaryngology, and orthopedics, along with an interest in integrating Western medicine with natural health and traditional Eastern medicine approaches.
Full Record
- NPI
- 1346297256
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Nicole
- Middle Name
- M
- Credential
- PA-C
- Mailing Street Address
- 720 Harrison Ave
- Mailing Address Line 2
- Dob 503
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02118-2371
- Mailing Country
- US
- Mailing Fax
- (415) 252-7176
- Practice Street Address
- 185 Dartmouth St Ste 603
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02116-5883
- Practice Country
- US
- Practice Phone
- (888) 663-6331
- Practice Fax
- (415) 252-7176
- Enumeration Date
- May 27, 2006
- Last Updated
- April 18, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 18, 2025
- Taxonomies
- Physician Assistant (363A00000X)