Individual provider · Type 1 NPI

Carly Diane Triebensee, PA

Physician Assistant · Lake Geneva, WI

NPI number 1093548984 Active

Practice location

N2950 State Road 67
Lake Geneva, WI 53147-2655

Mailing address

9615 Harvest Moon Ln Apt 413
Verona, WI 53593-9676

Other practice locations

  • 3400 Deerfield Dr, Janesville, WI 53546-3557 · (608) 314-3605
  • N2950 State Road 67, Lake Geneva, WI 53147-2655 · (262) 245-0535

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X8106-23 (WI)

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 1093548984

Carly Diane Triebensee, PA's National Provider Identifier is 1093548984, issued on Aug 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Geneva, WI. The record was last updated on Sep 24, 2024.