Individual provider · Type 1 NPI

Thea Marie Nolan, PA-C

Surgical Physician Assistant · Worcester, MA

NPI number 1417213448 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (508) 334-1000 Map

Fax (775) 442-5891

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1417213448

Thea Marie Nolan, PA-C's National Provider Identifier is 1417213448, issued on Apr 4, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Worcester, MA. The record was last updated on Jun 7, 2021.