Individual provider · Type 1 NPI

Mary Kaia Halverson-Durall, PA-C

Physician Assistant · Stevens Point, WI

NPI number 1487711719 Active

Practice location

2050 Fourth Avenue, Suite A
Stevens Point, WI 54481

Mailing address

1950 Ashford Dr
Plover, WI 54467-3050

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X995-023 (WI)

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 1487711719

Mary Kaia Halverson-Durall, PA-C's National Provider Identifier is 1487711719, issued on Jan 3, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stevens Point, WI. The record was last updated on Sep 9, 2026.