Provider Demographics
NPI:1942198585
Name:CROMWELL, NICOLE ELIZABETH (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ELIZABETH
Last Name:CROMWELL
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:ELIZABETH
Other - Last Name:WITHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 CLARKE RD
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1523
Mailing Address - Country:US
Mailing Address - Phone:603-560-7770
Mailing Address - Fax:
Practice Address - Street 1:10 CLARKE RD
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1523
Practice Address - Country:US
Practice Address - Phone:603-560-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2337665163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient