Individual provider · Type 1 NPI

Rebecca Shannon Andahazy, PA-C

Medical Physician Assistant · Kent, WA

NPI number 1700424959 Active

Practice location

18012 68th Ave S Ste 101
Kent, WA 98032-1022

Fax (425) 291-5300

Mailing address

PO Box 6116
Kent, WA 98064-6116

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA61581825 (WA)
Physician Assistant 363A00000X15-02567 (KS)
Physician Assistant 363A00000XPA.1551 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1700424959

Rebecca Shannon Andahazy, PA-C's National Provider Identifier is 1700424959, issued on Dec 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kent, WA. The record was last updated on Sep 16, 2024.