Individual provider · Type 1 NPI

Brittany Kate Sirivath

Physician Assistant · Fort Wayne, IN

NPI number 1255249850 Active

Practice location

7910 W Jefferson Blvd
Fort Wayne, IN 46804-4159

Mailing address

1535 Greythorn Dr
Fort Wayne, IN 46815-8792

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1255249850

Brittany Kate Sirivath's National Provider Identifier is 1255249850, issued on Sep 1, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 1, 2026.