Mandy Lynn Porter Dosti in Waukesha - Physician Assistant
Mandy Lynn Porter Dosti - NPI 1417024910
Mandy Lynn Porter Dosti is a Physician Assistant in Waukesha, Wisconsin. Mandy Lynn Porter Dosti practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mandy Lynn Porter Dosti is 1417024910. The last update date is 2022-08-24.
Mandy Lynn Porter Dosti's current location address is 2711 Preston Ct, Waukesha, Wisconsin. You can contact this provider via phone number 6082364248. The mailing address for Mandy Lynn Porter Dosti is 2711 Preston Ct, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mandy Lynn Porter Dosti |
|---|---|
| Address | 2711 Preston Ct, Waukesha, Wisconsin |
| Phone Number | 6082364248 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., PA-C |
NPI Number Detail
| NPI Number | 1417024910 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2022-08-24 |
Provider Mailing Address Detail
| Address | 2711 Preston Ct |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531884100 |
| Phone Number | 6082364248 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2050023 |
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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 perfor |
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What is the Mandy Lynn Porter Dosti's unique identification number?
The Mandy Lynn Porter Dosti has been assigned the NPI (National Provider Identifier) Number 1417024910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mandy Lynn Porter Dosti's physical address?
The Mandy Lynn Porter Dosti is physically located at 2711 Preston Ct, in the city of Waukesha, WI, with the postal code 531884100.
What is Mandy Lynn Porter Dosti's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mandy Lynn Porter Dosti is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did the Mandy Lynn Porter Dosti receive its 1417024910?
The Mandy Lynn Porter Dosti was issued its 1417024910 on 2006-11-29, which is the date when the organization was assigned this unique identifier.
When was the Mandy Lynn Porter Dosti's information last updated?
The Mandy Lynn Porter Dosti's information was last updated on 2022-08-24.