NPI 1013944024

Autumn Lynn Bertholdi, PAC

Practitioner Physician Assistant Springfield, MO

Practice location

Address: 3850 S National Ave STE 705, Springfield, MO 65807-5239
Phone: (417) 900-3407
Fax: (417) 889-0476
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2006010979 (MO)

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Registry record

NPI: 1013944024
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2006
Record last updated: 26 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.