Individual provider · Type 1 NPI

Nerisa Iolani Soeharto, PA-C

Physician Assistant · Austin, TX

NPI number 1770360588 Active

Practice location

3110 Guadalupe St Ste 100
Austin, TX 78705-2858

Call (512) 675-1359 Map

Other practice locations

  • 709 E Slaughter Ln Ste 404, Austin, TX 78744-2156 · (512) 277-6643
  • 2000 S I-35 Frontage Rd Suite N-5, Round Rock, TX 78681 · (512) 729-3138

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1770360588

Nerisa Iolani Soeharto, PA-C's National Provider Identifier is 1770360588, issued on Sep 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Austin, TX. The record was last updated on Apr 9, 2024.