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Ms. Emily G Pengelly, PA-C,MD
Student in an Organized Health Care Education/Training Program in Santa Rosa, California
NPI 1699072470

Emily G Pengelly is a Student in an Organized Health Care Education/Training Program based in Norwich, CA. Emily G Pengelly practices in Santa Rosa, CA and has the professional credentials of PA-C,MD. The NPI Number for Emily G Pengelly is 1699072470 and holds a License No. (California).

The current practice location address for Emily G Pengelly is 401 Bicentennial Way, Santa Rosa, CA and can be reached out via phone at 707-495-3732. You can also correspond with Emily G Pengelly through the mailing address at 746 PATTRELL RD, NORWICH, VT - 05055-9479 (mailing address contact number: 210-723-1843).

Location: 401 Bicentennial Way, Santa Rosa, CA, 05055-9479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699072470
Provider Name
Emily G Pengelly
Credential
PA-C,MD
Provider Entity Type
Individual
Gender
Female
Address
401 Bicentennial Way, Santa Rosa, CA, 05055-9479
Phone Number
707-495-3732
Fax Number
Provider Enumeration Date
02/14/2011
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
707-495-3732
Fax Number
person
Provider Business Mailing Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
707-495-3732
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
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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