Healthcare Provider Details

I. General information

NPI: 1558266858
Provider Name (Legal Business Name): MIKAELA JOELLE MAJCHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6454 ROUTE 405 HWY
MUNCY PA
17756-6388
US

IV. Provider business mailing address

64 W 2ND ST
TURBOTVILLE PA
17772-8672
US

V. Phone/Fax

Practice location:
  • Phone: 570-546-3172
  • Fax:
Mailing address:
  • Phone: 570-452-2192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA068405
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: