Search › Pennsylvania › 363A00000X
Nicholle Boguslaw, PHYSICIAN ASSISTANT
NPI 1689098931 · on the registry since 2014
Practice
- Address
- 1 Kelley Dr
Coal Township, PA 17866 - Phone
- (570) 644-7890
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania