| Doctor Name: | MR. JOHN ROBERT NUGENT |
| NPI Number: | 1922169127 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 175275 |
| Business Practice Address: | 52 Sharon St Pact Team Tri City Mental Health Center Malden, MA - 02148 |
| Business Phone Number: | 7813388800 |
| Business Fax Number: | 7813972108 |
| Mailing Address: | 246 West Street, READING |
| State: | MA |
| Postal Code: | 01867 |
| Phone Number: | 7819444089 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 175275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |