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Individual

NICOLE M WOOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2223 NILES CORTLAND RD SE, WARREN, OH 44484-3043
(330) 965-8760
(330) 469-9706
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006478RX
OH
363A00000X
Physician Assistant
MA061723
PA

Other

Enumeration date
07/06/2020
Last updated
05/17/2026
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