Individual provider · Type 1 NPI

Alyssa Irene Fredbo, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1376226936 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Mailing address

2100 Park Ave Unit 682858
Park City, UT 84068-4615

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200X13455633-1206 (UT)
Physician Assistant Primary 363A00000X13455633-1206 (UT)

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 1376226936

Alyssa Irene Fredbo, PA-C's National Provider Identifier is 1376226936, issued on Aug 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 4, 2024.