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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY PAULT, PA-C

Active

STACEY PAULT, PA-C is a Medical Physician Assistant healthcare provider located in SOLDOTNA, Alaska. NPI 1356621643 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SOLDOTNA, AK

Registration Details

NPI Number
1356621643
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2011 (15.010864105576 yrs)
Last Updated
Mar 26, 2021
Licenses
PA-3281 (CO)
127937 (AK)

Practice Information

Address
230 E MARYDALE AVE
SOLDOTNA, AK, 996697648
Browse AK providers · Browse ZIP 99669
Phone
9072623119
Fax
9072629290
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in SOLDOTNA, AK

Name Credential NPI
MR. DANIEL D NYITRAI PA-C 1962494781
BRYAN LEE PHERSON PA-C 1619162799
SHANE UDELHOVEN PA-C 1124355359
DANNA MAVIS CONSTANCE MOISII PA-C 1003318585
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.