Individual provider · Type 1 NPI

Nicole Modell, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1861222713 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Mailing address

370 Bassett Rd
North Haven, CT 06473-4201

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X6843 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1861222713

Nicole Modell, PA-C's National Provider Identifier is 1861222713, issued on Aug 6, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Nov 13, 2024.