Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHERESSA LISETTE MIX, PA-C
Active Sole ProprietorCHERESSA LISETTE MIX, PA-C is a Physician Assistant healthcare provider located in WILLIAMSPORT, Pennsylvania. NPI 1104844927 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WILLIAMSPORT, PA
Registration Details
- NPI Number
- 1104844927
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (20.095084866299 yrs)
- Last Updated
- Jan 18, 2016
- Licenses
-
OA002107 (PA)MA051507 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1205 RIVER AVE2ND FLOORWILLIAMSPORT, PA, 177013724Browse PA providers · Browse ZIP 17701
- Phone
- 5703264118
- Fax
- 5703265533
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WILLIAMSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER BRESSLER | PA-C | 1861487886 |
| HELEN O HISERMAN | PA-C | 1225025505 |
| JUDITH ANNE SNELL | PA-C | 1629069224 |
| MR. BRUCE W. BODY | PA-C | 1467430942 |
| MR. WAYNE MITCHELL BUTLER | PA-C | 1205801107 |
| MR. RICHARD THOMAS DAVIES | PA-C | 1316913494 |
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.