National Provider Identifier
Nicole Izzo, PA
Nicole Izzo, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 636-5000.
Source: public NPPES record, last updated June 19, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1427458348
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 28, 2014
- Last Updated
- June 19, 2017
Practice Location
- 800 Washington St # 1013
- Pratt Neurosurgery Associates, Inc
- Boston, MA 02111-1552
Phone: (617) 636-5000
Specialties
- Surgical Physician Assistant (363AS0400X)
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Biography
Nicole K. Izzo, PA, is a Boston physician assistant associated with Pratt Neurosurgery Associates and Tufts Medical Center. Public Medicare profile information also lists her with New England Medical Center Group Practice and notes that she completed her physician assistant training in 2014.
Full Record
- NPI
- 1427458348
- Entity Type
- Individual
- Last Name
- Izzo
- First Name
- Nicole
- Credential
- PA
- Provider Other Last Name
- Comosa
- Provider Other First Name
- Nicole
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 800 Washington St # 1013
- Mailing Address Line 2
- Pratt Neurosurgery Associates, Inc
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02111-1552
- Mailing Country
- US
- Mailing Phone
- (617) 636-5000
- Practice Street Address
- 800 Washington St # 1013
- Practice Address Line 2
- Pratt Neurosurgery Associates, Inc
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02111-1552
- Practice Country
- US
- Practice Phone
- (617) 636-5000
- Enumeration Date
- August 28, 2014
- Last Updated
- June 19, 2017
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Surgical Physician Assistant (363AS0400X)