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Nicole Wynne

Student in an Organized Health Care Education/Training Program in Medford, MA · enumerated 2016 · practices at 120 Murray Opco LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164967105

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Registry record

Entity type Individual (Type 1)
Name Nicole Wynne
Sex Female
Practice address 120 Murray St, Medford, MA, 02155
Phone (781) 391-0800
Enumeration date Dec 29, 2016
Last updated in NPPES Dec 29, 2016

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Primary

Other identifiers

Identifier Type State Issuer
390200000X Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Nicole Wynne practice?
The practice location on file with NPPES is in Medford, MA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Nicole Wynne?
The National Provider Identifier (NPI) for Nicole Wynne is 1164967105, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-29.