Individual
NICHOLAS S DEPTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 CAMPUS BLVD STE 300, WINCHESTER, VA 22601-2872
(540) 667-1244
(540) 667-3086
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9200
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003988
VA
363AM0700X
Medical Physician Assistant
Primary
0110003988
VA
Other
Enumeration date
08/21/2012
Last updated
04/27/2026
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