Individual provider · Type 1 NPI

Andyara Euzebio Passos, PA-C

Physician Assistant · South Charleston, WV

NPI number 1194419994 Active

Practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Call (304) 766-3600 Map

Other practice locations

  • 1320 Maplewood Ave, Ronceverte, WV 24970-8016 · (304) 647-4411

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2742 (WV)
Physician Assistant Primary 363A00000X2742 (WV)

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 1194419994

Andyara Euzebio Passos, PA-C's National Provider Identifier is 1194419994, issued on Jun 5, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Charleston, WV. The record was last updated on Sep 15, 2025.