Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS GURGANIOUS, PA-C
Active Sole ProprietorNICHOLAS GURGANIOUS, PA-C is a Physician Assistant healthcare provider located in NORMAL, Illinois. NPI 1801358627 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NORMAL, IL
Registration Details
- NPI Number
- 1801358627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2019 (7.4026221526868 yrs)
- Last Updated
- Apr 1, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1304 FRANKLIN AVENORMAL, IL, 617613558Browse IL providers · Browse ZIP 61761
- Phone
- 2538204337
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| JOHN D FULK | P.A. | 1063419679 |
| DANA DALBAK | PA-C | 1790721298 |
| JOHANNAH ISAIA | — | 1922199587 |
| MS. KAREN JANE BANDUSCH HARRIS | PA-C | 1003994104 |
| MR. JOSEPH V PILLER | P.A. | 1710024674 |
| MS. JENNIFER VICTORIA MENENDEZ | PA | 1497206551 |
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.