Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREY ANDZELIK, PA-C
ActiveAUDREY ANDZELIK, PA-C is a Surgical Physician Assistant healthcare provider located in TUBA CITY, Arizona. NPI 1194104000 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · TUBA CITY, AZ
Registration Details
- NPI Number
- 1194104000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2015 (11.235125625116 yrs)
- Last Updated
- Jan 11, 2022
- Licenses
-
018659 (NY)6075 (AZ)
Practice Information
- Address
-
167 NORTH MAIN STREETTUBA CITY, AZ, 86045Browse AZ providers · Browse ZIP 86045
- Phone
- 9282832501
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical 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.