Individual provider · Type 1 NPI

Nicole M. Hart, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1497054407 Active

Practice location

5501 Old York Rd, Lifter Building First Floor
Philadelphia, PA 19141-3018

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA050946 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1497054407

Nicole M. Hart, PA-C's National Provider Identifier is 1497054407, issued on Mar 17, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 17, 2011.