Individual provider · Type 1 NPI

Robert Evan Waxman, PA

Physician Assistant · Lebanon, NH

NPI number 1043099088 Active · reactivated Apr 9, 2025

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Fax (603) 640-1228

Mailing address

716 Stevens Avenue, Hersey Hall, Room 108
Portland, ME 04103

Other practice locations

  • 716 Stevens Avenue, Hersey Hall, Room 108, Portland, ME 04103 · (207) 221-4529

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3039 (NH)
Physician Assistant 363A00000XNone listed

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…

2,408 other providers at this address

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About NPI 1043099088

Robert Evan Waxman, PA's National Provider Identifier is 1043099088, issued on Sep 28, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lebanon, NH. The record was last updated on Dec 16, 2025.