Individual provider · Type 1 NPI

Vanessa Marie Stults, PA-C

Physician Assistant · O Fallon, IL

NPI number 1689869588 Active

Practice location

100 Springfield Ct
O Fallon, IL 62269-2495

Fax (618) 632-7693

Mailing address

818 E Broadway St
Sparta, IL 62286-1820

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.003207 (IL)

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 1689869588

Vanessa Marie Stults, PA-C's National Provider Identifier is 1689869588, issued on Sep 13, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in O Fallon, IL. The record was last updated on Dec 28, 2021.