National Provider Identifier

Nicole J Gaden, P.A.

Nicole J Gaden, P.A. is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 889-0750.

NPI 1790085264Rochester, NYMedical Physician Assistant

Source: public NPPES record, last updated November 06, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI: 1790085264
Provider Type: Individual
Primary Specialty: Medical Physician Assistant
Enumeration Date: October 29, 2010
Last Updated: November 06, 2023

Practice Location

3379 Chili Ave Ste 100
Rochester, NY 14624

Phone: (585) 889-0750

Mailing Address

3379 Chili Ave Ste 100
Rochester, NY 14624-5325

Specialties

Medical Physician Assistant (363AM0700X)

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Biography

Nicole Gaden, P.A., is a New York-licensed physician assistant based in Rochester. Public professional information is limited, but the CMS registry record supports her PA credential and New York licensure, and notes that she has also practiced under the former name Nicole J. Mimken.

Full Record

NPI: 1790085264
Entity Type: Individual
Last Name: Gaden
First Name: Nicole
Middle Name: J
Credential: P.A.
Provider Other Last Name: Mimken
Provider Other First Name: Nicole
Provider Other Middle Name: J
Provider Other Credential Text: PA
Provider Other Last Name Type Code: 1
Mailing Street Address: 3379 Chili Ave Ste 100
Mailing City: Rochester
Mailing State: NY
Mailing ZIP Code: 14624-5325
Mailing Country: US
Mailing Phone: (585) 889-0750
Mailing Fax: (585) 889-0750
Practice Street Address: 3379 Chili Ave Ste 100
Practice City: Rochester
Practice State: NY
Practice ZIP Code: 14624
Practice Country: US
Practice Phone: (585) 889-0750
Practice Fax: (585) 889-0750
Enumeration Date: October 29, 2010
Last Updated: November 06, 2023
Sex: Female
Sole Proprietor: No
Certification Date: November 06, 2023
Taxonomies: Medical Physician Assistant (363AM0700X)