Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS VINCENT DIFLAVIO, PA-C
Active Sole ProprietorNICHOLAS VINCENT DIFLAVIO, PA-C is a Medical Physician Assistant healthcare provider located in SAINT CROIX FALLS, Wisconsin. NPI 1831933589 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SAINT CROIX FALLS, WI
Registration Details
- NPI Number
- 1831933589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2024 (2.1461204510485 yrs)
- Last Updated
- Apr 3, 2025
- Licenses
-
14937 (MN)7992-23 (WI)14937 (MN)7992 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
235 E STATE STSAINT CROIX FALLS, WI, 540244117Browse WI providers · Browse ZIP 54024
- Phone
- 7154833261
- Fax
- 6783250317
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in SAINT CROIX FALLS, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JONN B. DINNIES | PA-C | 1467457457 |
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.