Individual provider · Type 1 NPI

Mishelle Diane Andersen

Physician Assistant · Bridgeport, CT

NPI number 1063282853 Active

Practice location

64 Black Rock Ave
Bridgeport, CT 06605-1200

Call (203) 641-6110 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7523 (CT)

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 1063282853

Mishelle Diane Andersen's National Provider Identifier is 1063282853, issued on Jan 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 3, 2026.