Individual
NICOLE GIA WAETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
915 OLD FERN HILL RD, STE 202, WEST CHESTER, PA 19380-3431
(610) 692-4270
(610) 692-5443
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012471
PA
Other
Enumeration date
11/06/2012
Last updated
07/08/2021
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