Individual
NICOLE T HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 N SHERMAN CT, HAZLETON, PA 18201-5863
(570) 501-7020
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA060992
PA
363AM0700X
Medical Physician Assistant
Primary
MA060992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA060992
STATE LICENSE
PA
Enumeration date
09/11/2019
Last updated
07/18/2025
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