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

Nicholle Boguslaw, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1689098931

Nicholle Boguslaw, PHYSICIANASSISTANT is a Physician Assistant in Coal Township, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1 Kelley Dr
Coal Township, PA 17866-1020
Phone: (570) 644-7890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA055934 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA002976 (PA)

Record details

NPI number1689098931
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 6, 2014
Last updated in NPPESFebruary 6, 2014

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