Provider Demographics
NPI:1538053749
Name:ESPINOZA, AUTUMN NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:NICOLE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1790 N RIDGE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-8682
Mailing Address - Country:US
Mailing Address - Phone:231-907-1476
Mailing Address - Fax:231-907-1476
Practice Address - Street 1:1790 N RIDGE VIEW CT
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-8682
Practice Address - Country:US
Practice Address - Phone:231-907-1476
Practice Address - Fax:231-907-1476
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant