SearchMaryland363AS0400X

Rebecca Nicely, PA-C

NPI 1699139303 · on the registry since 2016

Practice

Address
900 S Caton Ave
Baltimore, MD 21229
Phone
(667) 234-2414
Organisation at this address
Walgreen Co
St Agnes Hospital
Etienne T. Ngoumgna
St. Agnes Healthcare, Inc.
Baltimore Medical Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
211

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AS0400X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-22

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 Maryland