npidexNPI registry + Medicare data

ANYA WALLACE, PA-C

Medical Physician Assistant · CHARLOTTE, NC

Individual Active Opted out of Medicare NPI 1609264373

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Medical Physician Assistant363AM0700X✓0010-05473NC
Physician Assistant363A00000X0010-05473NC

Medicare eligibility

Opted out of Medicare (Physician Assistant), effective 2021-10-01 through 2027-10-01.

Other Medical Physician Assistant providers in North Carolina

See all Medical Physician Assistant providers in North Carolina →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.