Individual
MS. NICOLE MICHELLE WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2599 WEXFORD BAYNE RD, SEWICKLEY, PA 15143-8769
(724) 933-3644
Mailing address
2599 WEXFORD BAYNE RD, SEWICKLEY, PA 15143-8769
(724) 933-3644
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054586
—
363AS0400X
Surgical Physician Assistant
MA054586
PA
Other
Enumeration date
10/06/2010
Last updated
08/31/2023
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