Individual
AUTUMN LYNN MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
79 WAGNER RD STE 204, MONACA, PA 15061-2338
(724) 773-1926
(878) 439-3592
Mailing address
79 WAGNER RD STE 204, MONACA, PA 15061-2338
(724) 773-1926
(878) 439-3592
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05429483
—
NY
Enumeration date
09/09/2018
Last updated
10/02/2025
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