Provider Demographics
NPI:1154120582
Name:SCHENA, NICOLE ANN
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ANN
Last Name:SCHENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-1607
Mailing Address - Country:US
Mailing Address - Phone:978-979-5504
Mailing Address - Fax:
Practice Address - Street 1:39 SIMON ST STE 2A
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3043
Practice Address - Country:US
Practice Address - Phone:603-888-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH112449-21163W00000X
MARN2390290163W00000X, 363LP0808X
NH112449-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse