Individual provider · Type 1 NPI

Mary C. McNicholas, PA

Physician Assistant · Emeryville, CA

NPI number 1295791960 Active

Practice location

2100 Powell St, Suite 920
Emeryville, CA 94608-1826

Call (510) 350-2655 Map

Fax (510) 879-9071

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA14376 (CA)

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 1295791960

Mary C. McNicholas, PA's National Provider Identifier is 1295791960, issued on Apr 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Emeryville, CA. The record was last updated on Dec 16, 2008.