Individual provider · Type 1 NPI

Rebecca Jane Nicely, PA-C

Surgical Physician Assistant · Baltimore, MD

NPI number 1699139303 Active

Practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400XC06056 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1699139303

Rebecca Jane Nicely, PA-C's National Provider Identifier is 1699139303, issued on Apr 8, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Apr 22, 2016.