Healthcare Provider Details

I. General information

NPI: 1295264489
Provider Name (Legal Business Name): COURTNEY PAIGE ZAJDEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 05/21/2024
Certification Date: 07/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12116 STATE ROUTE 30
NORTH HUNTINGDON PA
15642-1843
US

IV. Provider business mailing address

12116 STATE ROUTE 30
NORTH HUNTINGDON PA
15642-1843
US

V. Phone/Fax

Practice location:
  • Phone: 724-863-4362
  • Fax: 724-863-6024
Mailing address:
  • Phone: 724-863-4362
  • Fax: 724-863-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA059026
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: