National Provider Identifier

Alica Beth Stuart, RPA-C

Alica Beth Stuart, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in West Seneca, NY and a listed phone number of (716) 675-7676.

NPI 1043410012West Seneca, NYMedical Physician Assistant

Profile Overview

NPI
1043410012
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 18, 2007
Last Updated
September 25, 2014

Practice Location

  • 3615 Seneca St
  • West Seneca, NY 14224-3444

Phone: (716) 675-7676

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1043410012
Entity Type
Individual
Last Name
Stuart
First Name
Alica
Middle Name
Beth
Name Prefix
Miss
Credential
RPA-C
Provider Other Last Name
Hermanson
Provider Other First Name
Alica
Provider Other Middle Name
Beth
Provider Other Last Name Type Code
1
Mailing Street Address
3615 Seneca St
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3444
Mailing Country
US
Mailing Phone
(716) 675-7676
Practice Street Address
3615 Seneca St
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3444
Practice Country
US
Practice Phone
(716) 675-7676
Enumeration Date
July 18, 2007
Last Updated
September 25, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)