Miranda Fezer, PAC

Physician Assistant · Camas, WA

Individual Active NPI

NPI number 1467901074

Practice location

3517 NW Camas Meadows Dr Ste 210
Camas, WA 98607-6602
Phone
(360) 345-3175

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NPI record

NPI
1467901074
Entity type
Individual (Type 1)
Enumeration date
September 23, 2016
Last updated
April 18, 2024
Certified
April 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA60697855 WA

About Miranda Fezer

Miranda Fezer, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3517 NW Camas Meadows Dr Ste 210, Camas, WA 98607-6602. The NPI number 1467901074 was assigned on September 23, 2016 and the record was last updated on April 18, 2024.

Miranda Fezer lists a license in the registry: #PA60697855 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Miranda Fezer, PAC?

The NPI number is 1467901074.

What is the phone number of Miranda Fezer?

The phone number listed for the practice location is (360) 345-3175.

Where is Miranda Fezer located?

3517 NW Camas Meadows Dr Ste 210, Camas, WA 98607-6602.

What is the taxonomy code for Miranda Fezer?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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