Individual provider · Type 1 NPI

Nicholas Vincent Diflavio, PA-C

Medical Physician Assistant · St. Croix Falls, WI

NPI number 1831933589 Active

Practice location

235 E State St
St. Croix Falls, WI 54024-4117

Fax (678) 325-0317

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X14937 (MN)
Physician Assistant 363A00000X7992-23 (WI)
Medical Physician Assistant 363AM0700X14937 (MN)
Medical Physician Assistant Primary 363AM0700X7992 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1831933589

Nicholas Vincent Diflavio, PA-C's National Provider Identifier is 1831933589, issued on Jun 19, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Croix Falls, WI. The record was last updated on Apr 3, 2025.