Nicole Marie Massie, PA-C

NPI #1962947994 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1962947994
Entity Type: Individual
Name: Nicole Marie Massie, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 29, 2016
Last Updated: Dec 29, 2016

Practice Location

Address: 940 NE 13TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73104-5008
Phone: (405) 271-7498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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