NPI 1376273243 · live from the CMS NPI Registry
Tyler Atkinson, PA-C
Physician Assistant in Saco, ME. National Provider Identifier 1376273243, active.
NPI record
| NPI | 1376273243 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 13 Industrial Park Rd, Saco, ME 04072 |
| Practice phone | 207-283-8800 |
| Mailing address | 87 Sherwood St Apt 2, Portland, ME 04103 |
| Enumerated | June 14, 2022 |
| Last updated | August 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | Pending (ME) |
| Physician Assistant primary | 363A00000X | PA2395 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.