Provider Demographics
NPI:1629785621
Name:SALDANA, KIERSTIN (PA-C)
Entity Type:Individual
Prefix:
First Name:KIERSTIN
Middle Name:
Last Name:SALDANA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KIERSTIN
Other - Middle Name:
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22428 N 46TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-6806
Mailing Address - Country:US
Mailing Address - Phone:480-205-6996
Mailing Address - Fax:
Practice Address - Street 1:9059 W LAKE PLEASANT PKWY STE E540
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8396
Practice Address - Country:US
Practice Address - Phone:623-322-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant