Individual provider · Type 1 NPI

Nicole Brianne Theofanis, PA-C

Physician Assistant · Wormleysburg, PA

NPI number 1720467897 Active

Practice location

1000 N Front St
Wormleysburg, PA 17043-1021

Call (717) 731-0101 Map

Fax (717) 731-8359

Mailing address

409 S 2nd St, Suite 2F
Harrisburg, PA 17104-1612

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA057597 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720467897

Nicole Brianne Theofanis, PA-C's National Provider Identifier is 1720467897, issued on May 22, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wormleysburg, PA. The record was last updated on Jun 26, 2019.