Individual
NICOLE MAE WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
517 SOUTH ST, LYKENS, PA 17048-1520
(717) 453-1073
(717) 453-8292
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP032560
PA
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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