Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS VANTIEM, PA-C
ActiveALEXIS VANTIEM, PA-C is a Physician Assistant healthcare provider located in SUPERIOR, Montana. NPI 1124706627 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SUPERIOR, MT
Registration Details
- NPI Number
- 1124706627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2023 (2.9229444830989 yrs)
- Last Updated
- Dec 1, 2025
- License
-
MED-PAC-LIC-145618 (MT)
Practice Information
- Address
-
1208 6TH AVE. ESUPERIOR, MT, 59872Browse MT providers · Browse ZIP 59872
- Phone
- 4068224803
- Fax
- 4068223848
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in SUPERIOR, MT
| Name | Credential | NPI |
|---|---|---|
| MEGAN HATTIE PUGH | PA-C | 1073266805 |
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.