Individual provider · Type 1 NPI
Nicole Marie Ikeda, PA-C
Medical Physician Assistant · Dedham, MA
NPI number
1952858441
Active
Practice location
1 Lyons St, Dept. Of Dermatology
Dedham, MA 02026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA5670 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1952858441
Nicole Marie Ikeda, PA-C's National Provider Identifier is 1952858441, issued on Sep 1, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dedham, MA. The record was last updated on Dec 5, 2019.