Individual provider · Type 1 NPI

Nicole Lara Messer, PA-C

Surgical Physician Assistant · Bridgeport, CT

NPI number 1710138524 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Other practice locations

  • 1468 Madison Ave, New York, NY 10029-6508 · (212) 241-3300

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6155 (CT)
Surgical Physician Assistant 363AS0400X012846 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1710138524

Nicole Lara Messer, PA-C's National Provider Identifier is 1710138524, issued on Oct 10, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 9, 2023.