person
Kristen Leigh Easey Wackelin, PA-C
Medical Physician Assistant in Sarasota, Florida
NPI 1477969186

Kristen Leigh Easey Wackelin is a Medical Physician Assistant based in Farmington, FL and is specialized in Medical. Kristen Leigh Easey Wackelin practices in Sarasota, FL and has the professional credentials of PA-C. The NPI Number for Kristen Leigh Easey Wackelin is 1477969186 and holds a License No. PA9108005 (Florida).

The current practice location address for Kristen Leigh Easey Wackelin is 1540 S. Tamiami Trail, Sarasota, FL and can be reached out via phone at 941-917-0060 and via fax at 941-957-4248.

Location: 1540 S. Tamiami Trail, Sarasota, FL, 06032-2030
person
Provider Profile Details
NPI Number
1477969186
Provider Name
Kristen Leigh Easey Wackelin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1540 S. Tamiami Trail, Sarasota, FL, 06032-2030
Phone Number
941-917-0060
Fax Number
941-957-4248
Provider Enumeration Date
07/02/2014
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012578900 05 FL
institution
Provider Business Practice Location Address Details
Address
1540 S. Tamiami Trail
City
State
Zip
34239
Phone Number
941-917-0060
Fax Number
941-957-4248
person
Provider Business Mailing Address Details
Address
1540 S. Tamiami Trail
City
State
Zip
34239
Phone Number
941-917-0060
Fax Number
941-957-4248
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9108005 (Florida)
Definition
Definition to come...
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