Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLYTHE D WALTERSDORF, P.A.
ActiveBLYTHE D WALTERSDORF, P.A. is a Physician Assistant healthcare provider located in CRESTON, Iowa. NPI 1669468385 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CRESTON, IA
Registration Details
- NPI Number
- 1669468385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2005 (20.869505063187 yrs)
- Last Updated
- Jul 1, 2011
- License
-
001293 (IA)
Practice Information
- Address
-
1610 W TOWNLINE STSUITE 1CRESTON, IA, 508011066Browse IA providers · Browse ZIP 50801
- Phone
- 6417822131
- Fax
- 6417826425
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CRESTON, IA
| Name | Credential | NPI |
|---|---|---|
| DARLA K SOBOTKA | PA-C | 1164402525 |
| SHEENA KATHERINE CORTNER | PA-C | 1639309669 |
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.