Individual
NICOLE THERESA KONSCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 ALTAMONT PL STE 301, WHITE PLAINS, MD 20695-3082
(301) 645-1781
(301) 374-9237
Mailing address
4255 ALTAMONT PL STE 301, WHITE PLAINS, MD 20695-3082
(301) 645-1781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009171
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009094448001
UNITED HEALTHCARE
MD
01
—
20836234
WELLPOINT
MD
01
—
912075100
MEDICAL ASSISTANCE
MD
Enumeration date
08/08/2022
Last updated
02/03/2026
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