Individual provider · Type 1 NPI

Nicole Vital, PA-C

Physician Assistant · Matthews, NC

NPI number 1720536378 Active

Practice location

9600 E Independence Blvd Ste B
Matthews, NC 28105-4628

Call (704) 815-5624 Map

Fax (704) 815-5621

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice locations

  • 445 S Kings Dr, Charlotte, NC 28204-3041 · (980) 308-0141

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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…

6 other providers at this address

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About NPI 1720536378

Nicole Vital, PA-C's National Provider Identifier is 1720536378, issued on Sep 12, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Matthews, NC. The record was last updated on Aug 3, 2021.