Individual provider · Type 1 NPI

Andrea Lynn Taft, PA-C

Physician Assistant · St. Clair Shores, MI

NPI number 1609185669 Active

Practice location

221 Villa Ln
St. Clair Shores, MI 48080-2737

Mailing address

1469 Canal St
Portage, MI 49002-7524

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601005888 (MI)

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 1609185669

Andrea Lynn Taft, PA-C's National Provider Identifier is 1609185669, issued on Sep 24, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Aug 7, 2025.