Nicholas, Michelle Marie

Nicholas, Michelle Marie is an individual health care provider with primary practice located at 450 S Washington St Suite C, Gettysburg PA 17325-2500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nicholas, Michelle Marie can be contacted via phone (717) 339-2475.

Contact Information

Primary practice address
450 S Washington St Suite C Gettysburg PA 17325-2500
Phone: (717) 339-2475
Fax: (717) 339-2438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP006810B Pennsylvania

Profile Details

NPI number 1730132903
LBN Legal business name Nicholas, Michelle Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated May 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730132903 NPPES
Pennsylvania MEDICAID 103101233

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