MRS. Kimberly Mattson Wieringa PA-C

  • NPI 1316136591
According to our database, the NPI number for MRS. Kimberly Mattson Wieringa PA-C is 1316136591 and activated since 16 years ago. MRS. Kimberly Mattson Wieringa PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 4500 San Pablo Rd S, Jacksonville, FL 32224. You can also contact MRS. Kimberly Mattson Wieringa PA-C via telephone number is (904) 953-2000. Provider NPI information was last updated on 05/21/2021.

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Overview of MRS. Kimberly Mattson Wieringa PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/23/2007
  • Last updated: 05/21/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA9105525
  • License State: FL

Provider Mailing Address

  • Address: 13400 E Shea Blvd
    Scottsdale, AZ 85259
  • Phone: 301-480-8000
  • Fax:

Provider Practice Location

  • Address: 4500 San Pablo Rd S
    Jacksonville, FL 32224
  • Phone: 904-953-2000
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA9105525
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 002987500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Kimberly Mattson Wieringa PA-C?
  • A: The npi number for MRS. Kimberly Mattson Wieringa PA-C is 1316136591.
  • Q: What are MRS. Kimberly Mattson Wieringa PA-C's specialties?
  • A: MRS. Kimberly Mattson Wieringa PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MRS. Kimberly Mattson Wieringa PA-C?
  • A: The medical license number for MRS. Kimberly Mattson Wieringa PA-C is PA9105525 and issued in FL in USA.
  • Q: Where is MRS. Kimberly Mattson Wieringa PA-C practice location?
  • A: MRS. Kimberly Mattson Wieringa PA-C is practicing at 4500 San Pablo Rd S, Jacksonville, FL 32224.
  • Q: How to contact MRS. Kimberly Mattson Wieringa PA-C?
  • A: You can contact MRS. Kimberly Mattson Wieringa PA-C via 904-953-2000.
Medicare Specialty
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Sports Medicine
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