Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
URSULA TREADAWAY, PA-C
ActiveURSULA TREADAWAY, PA-C is a Physician Assistant healthcare provider located in KODAK, Tennessee. NPI 1104364918 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KODAK, TN
Registration Details
- NPI Number
- 1104364918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2017 (9.5230255257083 yrs)
- Last Updated
- Dec 11, 2019
Practice Information
- Address
-
3609 OUTDOOR SPORTSMAN PL STE 7KODAK, TN, 377641477Browse TN providers · Browse ZIP 37764
- Phone
- 6528159228
- Fax
- 8657665396
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.