Individual provider · Type 1 NPI

Mikala Rae Gualtieri, PA

Physician Assistant · Norton Shores, MI

NPI number 1669280384 Active

Practice location

3570 Henry St Ste 120
Norton Shores, MI 49441-4576

Mailing address

892 College Ave
Holland, MI 49423-7050

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X5601012938APP24 (MI)
Physician Assistant Primary 363A00000X5601012938 (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 1669280384

Mikala Rae Gualtieri, PA's National Provider Identifier is 1669280384, issued on Dec 27, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Norton Shores, MI. The record was last updated on Jan 14, 2025.