Provider Demographics
NPI:1831618362
Name:TSAMBARLIS, MARIA EMMANUELLE (PA-C)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:EMMANUELLE
Last Name:TSAMBARLIS
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:45 S FRENCH BROAD AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3364
Mailing Address - Country:US
Mailing Address - Phone:828-276-9750
Mailing Address - Fax:833-764-4779
Practice Address - Street 1:45 S FRENCH BROAD AVE STE 170
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3364
Practice Address - Country:US
Practice Address - Phone:828-276-9750
Practice Address - Fax:833-764-4779
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9110662363A00000X
NC001012718363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022966500Medicaid