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

Individual provider Medical Physician Assistant · NPI 1104704196

Nicole Dutzman, PA-C is a Physician Assistant in Exton, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

780 W Lincoln Hwy
Exton, PA 19341-2547
Phone: (484) 206-4447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA066861 (PA)

Record details

NPI number1104704196
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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