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

Nicole Bodner, PA

Individual provider Physician Assistant · NPI 1043149016

Nicole Bodner, PA is a Physician Assistant in Wingate, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
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

515 N Main St
Wingate, NC 28174-8274
Phone: (704) 233-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043149016
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address515 N Main St, Wingate, NC 28174-8274

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