NPI 1174389662

Olivia Nicklos, PA

Practitioner Physician Assistant Pflugerville, TX

Practice location

Address: 2600 E Pflugerville Pkwy, Pflugerville, TX 78660-5998
Phone: (512) 654-6500
Mailing address: PO Box 844658, Dallas, TX 75284-4658

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA18153 (TX)

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Registry record

NPI: 1174389662
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2024
Record last updated: 17 Sep 2024

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.