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NICHOLLE BOGUSLAW PHYSICIAN ASSISTANT
NPI 1689098931
Physician Assistant in Coal Township, PA

Active since February 06, 2014
1 KELLEY DR, COAL TOWNSHIP, PA 17866(570) 644-7890 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholle Boguslaw Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLLE BOGUSLAW PHYSICIAN ASSISTANT (NPI 1689098931) is an individual physician assistant in Coal Township, Pennsylvania, licensed in Pennsylvania (MA055934) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1689098931
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLLE BOGUSLAWCredential: PHYSICIAN ASSISTANT
Location Address1 KELLEY DRCoal Township, PA 17866-1020
Mailing Address310 Jade AveDanville, PA 17821-8536 · (570) 594-9834
Phone(570) 644-7890
Sole ProprietorNo
Enumeration DateFebruary 6, 2014
✔ NPI 1689098931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA055934✔ Licensed in PA · OA002976
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 KELLEY DR, Coal Township, PA 17866
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE RUSHTON
Nurse Practitioner (Psychiatric/Mental Health)
1 KELLEY DR
COAL TOWNSHIP, PA 17866
Northumberland County (570) 644-7890
MISS YOULANDA MARIA KNIGHT-POWELL CRNP
Nurse Practitioner (Primary Care)
1 KELLEY DR
COAL TOWNSHIP, PA 17866
Northumberland County (570) 644-7890
DR. EDWARD GEORGE CROSBY PHD
Psychologist
1 KELLEY DR, 1 KELLEY DRIVE
COAL TOWNSHIP, PA 17866
Northumberland County (570) 644-7890
MS. MAUREEN ALICE ROONEY REGISTERED NURSE
Registered Nurse
1 KELLEY DR
COAL TOWNSHIP, PA 17866
Northumberland County (570) 644-7890
BRIAN ROBERT DAVIS
Physician Assistant (Medical)
1 KELLEY DR
COAL TOWNSHIP, PA 17866
Northumberland County (570) 644-7890
MR. JOHN P. SIDLER MS
Psychologist (Cognitive & Behavioral)
1 KELLEY DR
COAL TOWNSHIP, PA 17866
Northumberland County (570) 644-7890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholle Boguslaw's NPI number?

The NPI number for Nicholle Boguslaw is 1689098931. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Where is Nicholle Boguslaw located?

Nicholle Boguslaw practices at 1 Kelley Dr, Coal Township, PA 17866. The listed phone number is (570) 644-7890.

What is Nicholle Boguslaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicholle Boguslaw was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.