Provider Demographics
NPI:1841540598
Name:DAUKSEWICZ, ANNA LISA (PA-C)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LISA
Last Name:DAUKSEWICZ
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:25 HIGHLAND AVENUE: ANNA JAQUES HOSPITAL
Mailing Address - Street 2:COMPREHENSIVE PAIN CENTER
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-463-1045
Mailing Address - Fax:978-463-1345
Practice Address - Street 1:25 HIGHLAND AVENUE: ANNA JAQUES HOSPITAL
Practice Address - Street 2:COMPREHENSIVE PAIN CENTER
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:978-463-1045
Practice Address - Fax:978-463-1345
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2015-05-01
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
MAPA4559363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1106928OtherNCCPA