Individual provider · Type 1 NPI

Krista K. Skjervem, PAC

Medical Physician Assistant · Madison, WI

NPI number 1881974947 Active

Practice location

202 S Park St
Madison, WI 53715-1507

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2828 (WI)
Medical Physician Assistant Primary 363AM0700X2828-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1881974947

Krista K. Skjervem, PAC's National Provider Identifier is 1881974947, issued on Aug 22, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Dec 8, 2014.