Individual provider · Type 1 NPI
Kaela Mashburn, PA-C
Medical Physician Assistant · Pagosa Springs, CO
NPI number
1972184877
Active
Practice location
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Fax (970) 731-0511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA.0007112 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1972184877
Kaela Mashburn, PA-C's National Provider Identifier is 1972184877, issued on Apr 21, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pagosa Springs, CO. The record was last updated on Aug 2, 2022.