IndividualActive
Darayu Boltaeva, DMS, PA-C
NPI 1912714692 · Surgical Physician Assistant · Marshfield, WI
Provider details
- NPI number
- 1912714692
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DMS, PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone: (800) 782-8581
Approximate (ZIP-level) locationGet directions
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5702
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.