MICHELE DERNAY PA-C NPI 1336432384

NPI Information

NPI: 1336432384
Provider Name: MICHELE DERNAY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2702 LOW CT
FAIRFIELD, CA
ZIP 94534
Phone: (707) 432-2625
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Michele Dernay, PA-C is a medical physician assistant in Fairfield, CA. Michele Dernay, PA-C NPI is 1336432384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2702 LOW CT
FAIRFIELD, CA
ZIP 94534-771
Phone: (707) 432-2625
Fax: (707) 432-2622

The NPI 1336432384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 7/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA11797	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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