Individual
NICOLE JEANETTE WEERSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 35, BALTIMORE, MD 21215-5224
(410) 601-0900
(410) 601-0901
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5523
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C03106
MD
363AS0400X
Surgical Physician Assistant
Primary
C03106
MD
Other
Enumeration date
04/22/2008
Last updated
08/03/2010
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