Individual
MRS. NICOLE M FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5126 ROUTE 30, SUITE 300, GREENSBURG, PA 15601-7835
(724) 836-3027
(724) 836-3029
Mailing address
5126 ROUTE 30, SUITE 300, GREENSBURG, PA 15601-7835
(724) 836-3027
(724) 836-3029
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052794
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA052794
MA NUMBER
PA
Enumeration date
03/16/2010
Last updated
10/21/2015
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