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Individual
MIKAELA NAMEY
Active
Individual
MIKAELA NAMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064319
PA
363A00000X
Physician Assistant
OA006374
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA064319
MEDICAL PHYSICIAN ASSISTANT
PA
01
—
OA006374
OSTEOPATHIC PHYSICIAN ASSISTANT
PA
Enumeration date
02/22/2023
Last updated
02/22/2023
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