| Nicholle Boguslaw, PHYSICIAN ASSISTANT | |
|
1 Kelley Dr, Coal Township, PA 17866-1020 | |
| (570) 644-7890 | |
| Not Available |
| Full Name | Nicholle Boguslaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1 Kelley Dr, Coal Township, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689098931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA055934 (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | OA002976 (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholle Boguslaw, PHYSICIAN ASSISTANT 310 Jade Ave, Danville, PA 17821-8536 Ph: (570) 594-9834 | Nicholle Boguslaw, PHYSICIAN ASSISTANT 1 Kelley Dr, Coal Township, PA 17866-1020 Ph: (570) 644-7890 |
Diane D Wood, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-2042 Fax: 570-644-4582 | |
Marybeth Goretsky, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-4325 Fax: 570-644-4293 | |
Adam Creasy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-4222 | |
Miss Angela Millham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 570-644-4325 Fax: 570-644-4293 | |
Daniel Roland Longacre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Hospital Rd, Coal Township, PA 17866 Phone: 610-554-5173 | |
Brittany Eve Meyer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4203 Hospital Rd, Coal Township, PA 17866 Phone: 570-648-4010 |