Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA DESIREE PACKARD
Active Sole ProprietorAUDRA DESIREE PACKARD is a Physician Assistant healthcare provider located in SANTA CRUZ, California. NPI 1164296398 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1164296398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2023 (2.740260842089 yrs)
- Last Updated
- Feb 14, 2024
- License
-
63854 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1555 SOQUEL DRSANTA CRUZ, CA, 950651705Browse CA providers · Browse ZIP 95065
- Phone
- 8314627700
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARION JOANNA JORDAN | P.A. | 1730188608 |
| STEPHEN JACOB PASQUINI | PA | 1265418826 |
| ANDREW COLEN | PA | 1568432482 |
| PAMELA WAGNER | — | 1932179892 |
| CHARLES GRENIER | — | 1932179868 |
| MICHAEL SHERWOOD | — | 1710957675 |
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.