Individual
KATIE NICOLE SHIKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-7552
(774) 441-6086
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7505
MA
363AS0400X
Surgical Physician Assistant
4818
CT
Other
Enumeration date
04/16/2020
Last updated
04/22/2022
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