Heather Nickerson, MS PA-C
Physician Assistant, Surgical in New London, Connecticut
1669889481- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 508-560-0011
- Fax
- —
- Last updated
- July 14, 2014
Heather Nickerson is a Physician Assistant, Surgical based in New London, CT. Heather Nickerson practices in New London, CT and has the professional credentials of MS PA-C. The NPI Number for Heather Nickerson is 1669889481 and holds a License No. 3135 (CT). The current practice location address for Heather Nickerson is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 508-560-0011.
Provider Profile Details
- NPI Number
- 1669889481
- Provider Name
- Heather Nickerson
- Credential
- MS PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 508-560-0011
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 14, 2014
- Last Update Date
- July 14, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 508-560-0011
Provider Business Mailing Address Details
- Address
- 39 Corrine Dr
East Falmouth, MA 02536-2708 - City
- East Falmouth
- State
- MA
- Zip
- 02536-2708
- Phone Number
- 508-560-0011
License Information
- License Number
- 3135
- License State
- CT
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near New London, CT
View all Physician Assistant, Surgical providers in New London →- Charles PurcellPhysician Assistant, Surgical · NPI 1841810900
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- Juan C Delprado, PA-CPhysician Assistant, Surgical · NPI 1326182650
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- Kelly Giffault, PAPhysician Assistant, Surgical · NPI 1447931373
Frequently Asked Questions
What is the NPI number of Heather Nickerson, MS PA-C?
The NPI number of Heather Nickerson, MS PA-C is 1669889481. It was assigned on July 14, 2014 and is currently active in the NPPES registry.
What is the specialty of Heather Nickerson, MS PA-C?
Heather Nickerson, MS PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 3135.
Where does Heather Nickerson, MS PA-C practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 508-560-0011 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669889481 directly on the NPPES registry website.