Individual
NIKKI PLOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2609
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104738100
—
FL
01
—
LY592
MEDICARE
FL
Enumeration date
10/05/2019
Last updated
06/21/2024
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