Individual provider · Type 1 NPI

Nicole Thomas, PA-C

Physician Assistant · Havertown, PA

NPI number 1104667393 Active

Practice location

301 W Chester Pike Ste 101
Havertown, PA 19083-4530

Mailing address

PO Box 822336
Philadelphia, PA 19182-2336

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA065449 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104667393

Nicole Thomas, PA-C's National Provider Identifier is 1104667393, issued on Jun 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Havertown, PA. The record was last updated on Jun 25, 2026.