Individual provider · Type 1 NPI

Monic Lissette Wildasin, PA-C

Physician Assistant · Tacoma, WA

NPI number 1912687351 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Call (713) 962-7990 Map

Mailing address

299 Kingspoint Dr Apt 127
El Paso, TX 79912-6511

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 1912687351

Monic Lissette Wildasin, PA-C's National Provider Identifier is 1912687351, issued on Jul 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tacoma, WA. The record was last updated on Mar 23, 2026.