Shari K Villa in Waukesha - Physician Assistant
Shari K Villa - NPI 1225014236
Shari K Villa is a Physician Assistant in Waukesha, Wisconsin. Shari K Villa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shari K Villa is 1225014236. The last update date is 2014-06-18.
Shari K Villa's current location address is 717 W Moreland Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625429100. The mailing address for Shari K Villa is 717 W Moreland Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shari K Villa |
|---|---|
| Address | 717 W Moreland Blvd, Waukesha, Wisconsin |
| Phone Number | 2625429100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1225014236 |
|---|---|
| Provider Enumeration Date | 2005-12-21 |
| Last Updated Date | 2014-06-18 |
Provider Mailing Address Detail
| Address | 717 W Moreland Blvd |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531882432 |
| Phone Number | 2625429100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 468-023 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42979700 | WI | -- |
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What is the unique 10-digit identifier code issued to Shari K Villa by the Centers for Medicare & Medicaid Services?
The Shari K Villa has been assigned the NPI (National Provider Identifier) 1225014236 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Shari K Villa located?
The Shari K Villa is located at 717 W Moreland Blvd, Waukesha, WI 531882432.
What is Shari K Villa's area of expertise and its corresponding taxonomy classification?
The Shari K Villa's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shari K Villa receive its 1225014236 assignment from the Centers for Medicare & Medicaid Services?
The Shari K Villa was assigned its 1225014236 by the Centers for Medicare & Medicaid Services on 2005-12-21.
When was the information regarding Shari K Villa most recently updated?
The details pertaining to the Shari K Villa, including its address, specialty, and other relevant information, were last refreshed on 2014-06-18.
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