FAITH VAUTRAVERS PA-C NPI 1417634650

NPI Information

NPI: 1417634650
Provider Name: FAITH VAUTRAVERS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
835 N HILLSIDE ST
WICHITA, KS
ZIP 67214
Phone: (316) 247-6451
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Faith Vautravers, PA-C is a medical physician assistant in Wichita, KS with 1 years of experience. Faith Vautravers, PA-C NPI is 1417634650. 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:

835 N HILLSIDE ST
WICHITA, KS
ZIP 67214-913
Phone: (316) 247-6451

The NPI 1417634650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2023 and was last updated on 6/29/2023.

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	207N00000X	Dermatology		15-02767	KANSAS	No
2	363AM0700X	Physician Assistant	Medical	15-02767	KANSAS	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: 5/5/2024

NPI Synchronization or Removal

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