Katherine Axiak, PA-C
Physician Assistant in Madera, CA. Individual provider (NPI-1).
NPI number1225753841
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1225753841
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katherine Axiak
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2022
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA63670 | CA | Yes |
Practice location
9300 Valley Childrens PlMadera, CA 93636-8761
Phone 559-353-5803
Mailing address
8053 Twin Oaks AveCitrus Heights, CA 95610-0541
Phone 916-872-3447
Other practice locations
8053 Twin Oaks Ave
Citrus Heights, CA 95610-0541
Citrus Heights, CA 95610-0541
Phone 916-872-3447
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