Individual provider · Type 1 NPI

Krista Lauren Vanderwall, PA

Physician Assistant · Williamsville, NY

NPI number 1073094769 Active

Practice location

100 College Pkwy Ste 160
Williamsville, NY 14221-6800

Call (716) 500-2663 Map

Mailing address

PO Box 448
Buffalo, NY 14240-0488

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X022744 (NY)

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 1073094769

Krista Lauren Vanderwall, PA's National Provider Identifier is 1073094769, issued on Aug 22, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Williamsville, NY. The record was last updated on Nov 27, 2023.