Individual provider · Type 1 NPI

Stacey M. Boswell, PA

Physician Assistant · Fort Wayne, IN

NPI number 1114268125 Active

Practice location

11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715

Call (260) 266-8900 Map

Fax (260) 266-8935

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10001506A (IN)

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 1114268125

Stacey M. Boswell, PA's National Provider Identifier is 1114268125, issued on Mar 15, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 5, 2022.