Individual provider · Type 1 NPI

Nicole Moundros, PAC

Physician Assistant · Lansing, MI

NPI number 1770614265 Active

Practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Call (517) 364-2223 Map

Mailing address

PO Box 634280
Cincinnati, OH 45263-0041

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X004593 (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 1770614265

Nicole Moundros, PAC's National Provider Identifier is 1770614265, issued on Mar 8, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lansing, MI. The record was last updated on Mar 14, 2008.