Individual provider · Type 1 NPI

Tristy Valsa Paulose, PA-C

Surgical Physician Assistant · Lancaster, PA

NPI number 1851063648 Active

Practice location

555 N Duke St
Lancaster, PA 17602-2207

Mailing address

2104 Harrisburg Pike Ste 200
Lancaster, PA 17601-2644

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1851063648

Tristy Valsa Paulose, PA-C's National Provider Identifier is 1851063648, issued on Sep 30, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lancaster, PA. The record was last updated on Oct 4, 2021.