Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS SIDUN
Active Sole ProprietorNICHOLAS SIDUN is a Physician Assistant healthcare provider located in STEVENSVILLE, Maryland. NPI 1124789805 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STEVENSVILLE, MD
Registration Details
- NPI Number
- 1124789805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2022 (4.6194598227264 yrs)
- Last Updated
- Sep 13, 2022
- License
-
PA9116132 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
803 BAYSIDE DRSTEVENSVILLE, MD, 216662737Browse MD providers · Browse ZIP 21666
- Phone
- 4434800576
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in STEVENSVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES N. BETHMANN | P.A.-C | 1487655338 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.