Individual
NICHOL R DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
318 SUMMIT AVE, CLARKS SUMMIT, PA 18411-1464
(570) 591-4912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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