Provider Demographics
NPI:1326819772
Name:WALTMAN, MAKAYLA MAE (PA-C)
Entity Type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:MAE
Last Name:WALTMAN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE STE M54
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-621-1818
Mailing Address - Fax:412-621-4337
Practice Address - Street 1:4815 LIBERTY AVE STE M54
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-621-1818
Practice Address - Fax:412-621-4337
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA065132363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical