Alexis Vantiem, PA-C Valid NPI

Individual provider · Physician Assistant · Superior, MT

NPI

1124706627

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

MED-PAC-LIC-145618 (MT)

Sex

Female

Sole proprietor

No

Enumerated

2023-07-06

Last updated

2025-12-01