Individual
MS. NIKKI LYNN FEDEL
Active
Individual
MS. NIKKI LYNN FEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
101528
WI
363AS0400X
Surgical Physician Assistant
Primary
2725
CO
Other
Enumeration date
04/20/2009
Last updated
04/12/2024
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