Individual provider · Type 1 NPI

Nicole Lynn McQuillan, PA-C

Medical Physician Assistant · Harrisburg, PA

NPI number 1942967294 Active

Practice location

111 S Front St
Harrisburg, PA 17101-2010

Call (717) 988-0000 Map

Fax (717) 782-5716

Mailing address

604 Stoney Run Rd
Pottsville, PA 17901-8729

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X063183 (PA)
Medical Physician Assistant 363AM0700X005930 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1942967294

Nicole Lynn McQuillan, PA-C's National Provider Identifier is 1942967294, issued on Nov 22, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harrisburg, PA. The record was last updated on Nov 26, 2021.