Individual provider · Type 1 NPI

Nicole T. Homan, PA-C

Medical Physician Assistant · Hazleton, PA

NPI number 1548819675 Active

Practice location

140 N Sherman Ct
Hazleton, PA 18201-5863

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Other practice locations

  • 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6271 · (610) 402-6986
  • 2649 Schoenersville Rd Ste 101, Bethlehem, PA 18017-7317 · (484) 884-3600
  • 205 E Laurel Blvd, Pottsville, PA 17901-2534 · (570) 624-4743

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA060992 (PA)
Medical Physician Assistant Primary 363AM0700XMA060992 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1548819675

Nicole T. Homan, PA-C's National Provider Identifier is 1548819675, issued on Sep 11, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hazleton, PA. The record was last updated on Jul 18, 2025.