Individual provider · Type 1 NPI

Autumn Nicole Malliard, PA-C

Physician Assistant · Du Bois, PA

NPI number 1003659020 Active

Practice location

145 Hospital Ave Ste 300
Du Bois, PA 15801-1465

Call (814) 375-2040 Map

Fax (814) 375-2045

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant	363AS0400X	MA065595 (PA)
Physician Assistant Primary	363A00000X	MA065595 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003659020

Autumn Nicole Malliard, PA-C's National Provider Identifier is 1003659020, issued on Jun 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Du Bois, PA. The record was last updated on Feb 3, 2025.