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

TERRA RENEE FASOLD, PA-C

Active Sole Proprietor

TERRA RENEE FASOLD, PA-C is a Physician Assistant healthcare provider located in DANVILLE, Pennsylvania. NPI 1841892619 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DANVILLE, PA

Registration Details

NPI Number
1841892619
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2020 (5.760857472081 yrs)
Last Updated
Jan 14, 2026
License
MA061949 (PA)
Sole Proprietor
Yes

Practice Information

Address
100 N ACADEMY AVE
DANVILLE, PA, 178229800
Browse PA providers · Browse ZIP 17822
Phone
5702716367
Fax
5702717142
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DANVILLE, PA

Name Credential NPI
MS. JULIE A FARROW PA C 1417948183
MS. MICHELE B. BAFILE-SHARROW PA-C 1477527349
MR. LARRY R. BOOKER PA-C 1558336644
MS. NICOLE E. TOBIAS PA-C 1467427559
MR. LARRY E. BOHNER PA-C 1477528560
MR. DOUGLAS E BOUCHER PA C 1972578094
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.