Individual provider · Type 1 NPI

Nicole Jeanette Weersing, PA-C

Surgical Physician Assistant · Baltimore, MD

NPI number 1427222355 Active

Practice location

2435 W Belvedere Ave, Suite 35
Baltimore, MD 21215-5224

Fax (410) 601-0901

Mailing address

2401 W Belvedere Ave, Attn: Credentialing
Baltimore, MD 21215-5216

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC03106 (MD)
Surgical Physician Assistant Primary 363AS0400XC03106 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1427222355

Nicole Jeanette Weersing, PA-C's National Provider Identifier is 1427222355, issued on Apr 22, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Aug 3, 2010.