Individual provider · Type 1 NPI
Dana Lynn Willerton, PA-C
Medical Physician Assistant · Mount Laurel, NJ
NPI number
1639406424
Active
Practice location
101 Gaither Drive
Mount Laurel, NJ 08054
Fax (856) 810-9889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00229800 (NJ) |
| Medical Physician Assistant Primary | 363AM0700X | 25MP00229800 (NJ) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Mount Laurel
About NPI 1639406424
Dana Lynn Willerton, PA-C's National Provider Identifier is 1639406424, issued on Nov 16, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Laurel, NJ. The record was last updated on Nov 22, 2023.