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

NERISA IOLANI SOEHARTO, PA-C

Active

NERISA IOLANI SOEHARTO, PA-C is a Physician Assistant healthcare provider located in AUSTIN, Texas. NPI 1770360588 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AUSTIN, TX

Registration Details

NPI Number
1770360588
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2023 (2.9338471251494 yrs)
Last Updated
Apr 9, 2024

Practice Information

Address
3110 GUADALUPE ST STE 100
AUSTIN, TX, 787052858
Browse TX providers · Browse ZIP 78705
Phone
5126751359
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AUSTIN, TX

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COURTNEY S KYLE PA-C 1033112511
MRS. THERESA BIEDENBACH P.A. 1649270604
MR. THOMAS VAN HORN P.A. 1851392724
PHILIP A WEBER PA 1124029475
MR. JOHN FOSTER KASEL PA-C 1477555290
MR. HAROLD B ESKEW III PA 1659366805
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.