Individual
NICOLE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 LOCUST ST, SUITE 105, PITTSBURGH, PA 15219-5114
(412) 232-8111
Mailing address
1400 LOCUST ST, SUITE 105, PITTSBURGH, PA 15219-5114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058937
PA
Other
Enumeration date
03/12/2015
Last updated
05/24/2021
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