Provider Demographics
NPI:1427515576
Name:CUARTAS, MARIA ANDREA (PA-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANDREA
Last Name:CUARTAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1215 VANDALIA ST
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-4060
Mailing Address - Country:US
Mailing Address - Phone:618-343-6015
Mailing Address - Fax:618-578-5759
Practice Address - Street 1:1215 VANDALIA ST
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-4060
Practice Address - Country:US
Practice Address - Phone:618-343-6015
Practice Address - Fax:618-578-5759
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085007007363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant