Individual provider · Type 1 NPI

Mariah Wallace, PA-C

Physician Assistant · Mount Pleasant, PA

NPI number 1124806682 Active

Practice location

508 S Church St
Mount Pleasant, PA 15666-1702

Call (724) 547-7092 Map

Fax (724) 547-7096

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA067651 (PA)

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 1124806682

Mariah Wallace, PA-C's National Provider Identifier is 1124806682, issued on Sep 18, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mount Pleasant, PA. The record was last updated on May 15, 2026.