IndividualActive
Alessandra Maw, PA
NPI 1730637661 · Physician Assistant · Park City, UT
Provider details
- NPI number
- 1730637661
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 10093801-8906 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1743 Redstone Center Dr
Park City, UT 84098-7929
Phone: (435) 658-9200
Approximate (ZIP-level) locationGet directions
Mailing address
1743 Redstone Center Dr
Park City, UT 84098-7929
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.