# MAGDALENA NATALIA STASIAK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275817207
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085004164 | IL | — |
| 363A00000X | Physician Assistant | AP60298929 | WA | — |
| 363A00000X | Physician Assistant | PA60298929 | WA | Yes |

## Other

- **Enumeration date:** 10/10/2011
- **Last updated:** 01/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036062597 | — | IL |
| 01 | — | 10019630 | BCBS | IL |
| 01 | — | 103788 | HEALTHLINK | — |
| 05 | — | 2023084 | — | WA |
| 01 | — | 33308 | HEALTH ALLIANCE | — |
| 01 | — | 80077375 | MEDICARE RAILROAD | — |