Individual
MRS. NICHOLE B WITCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 ALDEN ST, MEADVILLE, PA 16335-2348
(814) 373-5255
(814) 373-5259
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-5255
(814) 373-5259
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA059312
PA
363AM0700X
Medical Physician Assistant
Primary
OA004263
PA
Other
Enumeration date
09/25/2017
Last updated
04/09/2019
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