Individual provider · Type 1 NPI
Izzabella Marie Pogreba
Medical Physician Assistant · Tennessee Ridge, TN
NPI number
1063363166
Active
Practice location
540 Cook Hollow Ln
Tennessee Ridge, TN 37178-5533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1063363166
Izzabella Marie Pogreba's National Provider Identifier is 1063363166, issued on Feb 4, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tennessee Ridge, TN. The record was last updated on Feb 4, 2026.