Individual provider · Type 1 NPI

Ivy Weakland, PA-C

Medical Physician Assistant · Seattle, WA

NPI number 1902263387 Active

Practice location

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367

Call (206) 616-4001 Map

Mailing address

9500 Independence Dr, Ste 900
Anchorage, AK 99507-4686

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X115459 (AK)

Medical Physician Assistant: Definition to come...

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About NPI 1902263387

Ivy Weakland, PA-C's National Provider Identifier is 1902263387, issued on Jan 15, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seattle, WA. The record was last updated on Nov 29, 2016.