Individual provider · Type 1 NPI

Kiersten Simone La Roche, PA

Physician Assistant · Boston, MA

NPI number 1629692926 Active

Practice location

850 Harrison Avenue, Yacc 5
Boston, MA 02118-4001

Fax (617) 414-5798

Mailing address

801 Albany Street, Fl G
Boston, MA 02119-3791

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA8047 (MA)

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 1629692926

Kiersten Simone La Roche, PA's National Provider Identifier is 1629692926, issued on Jun 2, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Feb 4, 2022.