Individual provider · Type 1 NPI

Liza Rose Beviglia

Physician Assistant · Moosic, PA

NPI number 1023835477 Active

Practice location

340 Montage Mountain Rd
Moosic, PA 18507-1707

Call (570) 346-3686 Map

Mailing address

611 Kohler Ave
Old Forge, PA 18518-1042

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA066055 (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 1023835477

Liza Rose Beviglia's National Provider Identifier is 1023835477, issued on Sep 25, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Moosic, PA. The record was last updated on Dec 10, 2025.