NPI 1033562673

Scott Nicholson, PA

Practitioner Medical Physician Assistant Edmond, OK

Practice location

Address: 1 S Bryant Ave, Edmond, OK 73034-6309
Phone: (405) 341-6100
Mailing address: 7477 E 46th Pl, Tulsa, OK 74145-6305

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 2676 (OK)

Other Physician Assistant providers in Oklahoma →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2676 (OK)

Registry record

NPI: 1033562673
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2016
Record last updated: 17 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.