Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Nicholas James Crodick, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356051098

Mr. Nicholas James Crodick, PA is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

600 Gresham Dr Ste 8600
Norfolk, VA 23507-1904
Phone: (757) 388-6005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009381 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356051098
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 5, 2022
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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