Individual
NICOLE CARA WEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12200 WARWICK BLVD STE 310, NEWPORT NEWS, VA 23601-2344
(757) 534-9988
(757) 534-5688
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005842
VA
Other
Enumeration date
08/09/2017
Last updated
03/21/2024
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