Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE BRIANNE THEOFANIS, PA-C
ActiveNICOLE BRIANNE THEOFANIS, PA-C is a Physician Assistant healthcare provider located in WORMLEYSBURG, Pennsylvania. NPI 1720467897 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WORMLEYSBURG, PA
Registration Details
- NPI Number
- 1720467897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2015 (11.04623187999 yrs)
- Last Updated
- Jun 26, 2019
- License
-
MA057597 (PA)
Practice Information
- Address
-
1000 N FRONT STWORMLEYSBURG, PA, 170431021Browse PA providers · Browse ZIP 17043
- Phone
- 7177310101
- Fax
- 7177318359
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WORMLEYSBURG, PA
| Name | Credential | NPI |
|---|---|---|
| NICHOLAS JOSEPH RANIELI | PA-C | 1518436831 |
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.