Individual
MRS. NICOLE ELAINE SHILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6301 GRAYSON RD, SUITE 9, HARRISBURG, PA 17111-3331
(717) 920-5910
(717) 920-5916
Mailing address
6301 GRAYSON RD, SUITE 9, HARRISBURG, PA 17111-3331
(717) 920-5910
(717) 920-5916
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054429
PA
Other
Enumeration date
12/07/2010
Last updated
08/20/2012
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