NPI 1144737172

Katelyn Anne Virnelson, PAC

Practitioner Physician Assistant San Tan Valley, AZ

Practice location

Address: 36457 N Gantzel Rd STE 101, San Tan Valley, AZ 85140-7343
Phone: (480) 214-9000
Mailing address: 2051 W Chandler Blvd STE 5, Chandler, AZ 85224-6239

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1144737172
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2017
Record last updated: 6 Jan 2023

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.