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Krista Lauren Vanderwall, PA
Physician Assistant in Williamsville, New York
NPI 1073094769

Krista Lauren Vanderwall is a Physician Assistant based in Buffalo, NY. Krista Lauren Vanderwall practices in Williamsville, NY and has the professional credentials of PA. The NPI Number for Krista Lauren Vanderwall is 1073094769 and holds a License No. (New York).

The current practice location address for Krista Lauren Vanderwall is 100 College Pkwy Ste 160, Williamsville, NY and can be reached out via phone at 716-500-2663.

Location: 100 College Pkwy Ste 160, Williamsville, NY, 14240-0488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073094769
Provider Name
Krista Lauren Vanderwall
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 College Pkwy Ste 160, Williamsville, NY, 14240-0488
Phone Number
716-500-2663
Fax Number
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 College Pkwy Ste 160
City
Williamsville
State
New York
Zip
14221-6800
Phone Number
716-500-2663
Fax Number
person
Provider Business Mailing Address Details
Address
100 College Pkwy Ste 160
City
Williamsville
State
New York
Zip
14221-6800
Phone Number
716-500-2663
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
022744 (New York)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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