Individual provider · Type 1 NPI

Kristine Supple, PA

Physician Assistant · Oxnard, CA

NPI number 1720157233 Active

Practice location

2921 Saviers Rd
Oxnard, CA 93033-5314

Fax (805) 487-5589

Mailing address

2705 Loma Vista Rd, Suite 205
Ventura, CA 93003-1581

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15019 (CA)

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 1720157233

Kristine Supple, PA's National Provider Identifier is 1720157233, issued on Nov 7, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oxnard, CA. The record was last updated on Jul 9, 2007.