Provider Demographics
NPI:1083051999
Name:BITSKO, NIKA SOPHIA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NIKA
Middle Name:SOPHIA
Last Name:BITSKO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:NIKA
Other - Middle Name:SOPHIA
Other - Last Name:PCSOLYAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, BSN, RN, FNP-BC
Mailing Address - Street 1:520 UPPER CHESAPEAKE DRIVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:443-643-4800
Mailing Address - Fax:443-643-4801
Practice Address - Street 1:520 UPPER CHESAPEAKE DRIVE
Practice Address - Street 2:SUITE 308
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014
Practice Address - Country:US
Practice Address - Phone:443-643-4800
Practice Address - Fax:443-643-4801
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN645098163W00000X
NC264285163W00000X
NVRN87650163WC1400X
NC5006863363LF0000X
NVAPRN002174363LF0000X
MDR247633363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1400XNursing Service ProvidersRegistered NurseCollege Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCH830AMedicare PIN