IndividualActive
Asia Grishchuk, PA-C
NPI 1154887032 · Physician Assistant · Nixa, MO
Provider details
- NPI number
- 1154887032
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2019005376 (MO)
Practice location
940 W Mount Vernon St Ste 100
Nixa, MO 65714-9613
Phone: (417) 724-5300
Mailing address
940 W Mount Vernon St Ste 100
Nixa, MO 65714-9613
Registry dates
- Enumerated
- 2019-02-15
- Last updated
- 2019-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.