Individual provider · Type 1 NPI
Heather Nickerson, MS PA-C
Surgical Physician Assistant · New London, CT
NPI number
1669889481
Active
Practice location
365 Montauk Ave
New London, CT 06320-4700
Mailing address
39 Corrine Dr
East Falmouth, MA 02536-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 3135 (CT) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in New London
- Jenine Decaprio Gesino, PA-CSurgical Physician Assistant New London, CT NPI 1134132244
- Kathryn O'Connor, PA-CSurgical Physician Assistant New London, CT NPI 1225726839
- Jason Lee Tharpe, PACSurgical Physician Assistant New London, CT NPI 1255371217
- Marcelle Loranger Cashman, PA-CSurgical Physician Assistant New London, CT NPI 1275696304
- Kelsey BestallSurgical Physician Assistant New London, CT NPI 1295213320
- Juan C. Delprado, PA-CSurgical Physician Assistant New London, CT NPI 1326182650
- Kelly Giffault, PASurgical Physician Assistant New London, CT NPI 1447931373
- Heather Michelle Rynkowski, PA-CSurgical Physician Assistant New London, CT NPI 1477980480
About NPI 1669889481
Heather Nickerson, MS PA-C's National Provider Identifier is 1669889481, issued on Jul 14, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New London, CT. The record was last updated on Jul 14, 2014.