NPI 1023835477

Liza Rose Beviglia

Practitioner Physician Assistant Moosic, PA

Practice location

Address: 340 Montage Mountain Rd, Moosic, PA 18507-1707
Phone: (570) 346-3686
Mailing address: 611 Kohler Ave, Old Forge, PA 18518-1042

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA066055 (PA)

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Registry record

NPI: 1023835477
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2024
Record last updated: 10 Dec 2025

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.