Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTEA KRASICKY, PA
Active Sole ProprietorMATTEA KRASICKY, PA is a Physician Assistant healthcare provider located in MARIETTA, Georgia. NPI 1407593668 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARIETTA, GA
Registration Details
- NPI Number
- 1407593668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2022 (4.2677635180207 yrs)
- Last Updated
- Feb 20, 2023
- License
-
11244 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 TOWER RD NE STE 200MARIETTA, GA, 300609412Browse GA providers · Browse ZIP 30060
- Phone
- 7704221372
- Fax
- 7709992488
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN WEBB MACKEY | PA-C | 1932104999 |
| MR. PETER JEFF HAIRSTON | PA-C | 1386633832 |
| MR. MICHAEL BRUCE TREMMEL | PA-C | 1962491100 |
| SUSAN HOLLANDER | PA-C | 1891770327 |
| MS. KIMBERLY JANFLONE | PA | 1457324543 |
| PRIYA S. VERMA | PA | 1619943420 |
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.