Whalio Doctors

NPI 1093797250

Kristin Marie Groessl, PAC

Practitioner Surgical Physician Assistant Silverdale, WA

Practice location

Address
4409 NW Anderson Hill Rd, Silverdale, WA 98383-6807
Phone
(360) 698-6630
Fax
(360) 698-7002

Registered specialties (5)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA61092965 (WA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA61092965 (WA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1164-023 (WI)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1164-023 (WI)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 56266 (CA)

Registry record

NPI
1093797250
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2005
Record last updated
18 Dec 2020

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.