Individual
NICOLA HUGHES HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 NORTH BROADWAY, WEINBERG ROOM 5C, BALTIMORE, MD 21231
(410) 955-8985
(410) 614-4501
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06924
MD
363AM0700X
Medical Physician Assistant
0110005914
VA
Other
Enumeration date
09/23/2017
Last updated
01/05/2019
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