Individual provider · Type 1 NPI

Nikola Charleen Radlach-Barnack, PA-C

Physician Assistant · South Portland, ME

NPI number 1598460099 Active

Practice location

100 Gannett Dr Ste B
South Portland, ME 04106-5900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X202740 (ID)

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…

2 other providers at this address

Other physician assistant providers in South Portland

See all in South Portland →

About NPI 1598460099

Nikola Charleen Radlach-Barnack, PA-C's National Provider Identifier is 1598460099, issued on Apr 3, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Portland, ME. The record was last updated on Jun 29, 2026.