Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DARAYU C BOLTAEVA, DMS, PA-C
Active Sole ProprietorDARAYU C BOLTAEVA, DMS, PA-C is a Surgical Physician Assistant healthcare provider located in MARSHFIELD, Wisconsin. NPI 1912714692 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MARSHFIELD, WI
Registration Details
- NPI Number
- 1912714692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2024 (1.6709818972747 yrs)
- Last Updated
- Apr 1, 2025
- License
-
8239 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 N OAK AVEMARSHFIELD, WI, 544495703Browse WI providers · Browse ZIP 54449
- Phone
- 8007828581
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MARSHFIELD, WI
| Name | Credential | NPI |
|---|---|---|
| ANN K SOMMER | PA-C | 1518010966 |
| DAVID H SPENCER | PA-C | 1093199796 |
| HANNAH FLAK | — | 1043995111 |
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.