MRS. MYKAELA DENISE STUART PA-C NPI 1457879140

NPI Information

NPI: 1457879140
Provider Name: MRS. MYKAELA DENISE STUART, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: TANANA CHIEFS CONFERENCE

PECOS Registration: Yes

Address:
1001 NOBLE ST STE 1
FAIRBANKS, AK
ZIP 99701
Phone: (907) 459-3500
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MRS. Mykaela Denise Stuart, PA-C is a medical physician assistant in Fairbanks, AK with 6 years of experience. MRS. Mykaela Denise Stuart, PA-C NPI is 1457879140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1001 NOBLE ST STE 1
FAIRBANKS, AK
ZIP 99701-991
Phone: (907) 459-3500

The NPI 1457879140 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 9/1/2017 and was last updated on 11/26/2018.

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	138684	ALASKA	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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