Search › Florida › 363AM0700X
Madelyn Nickerson, PA-C
NPI 1609327816 · on the registry since 2016
Practice
- Address
- 6801 4th St N
St Petersburg, FL 33702 - Phone
- (727) 822-3238
- Fax
- (727) 823-1278
- Organisation at this address
- Baycare Medical Group Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-12
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 Florida