NPI 1285295964 · live from the CMS NPI Registry
Deidra Alston, PA-C
Physician Assistant in Crofton, MD. National Provider Identifier 1285295964, active.
NPI record
| NPI | 1285295964 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1607 Airy Hill Ct Unit E, Crofton, MD 21114 |
| Practice phone | 419-306-6824 |
| Enumerated | June 24, 2019 |
| Last updated | June 24, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.