Olivia Faeth Hasselfeld, PA Valid NPI

Individual provider · Physician Assistant · O Fallon, MO

NPI

1194334094

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

2020026369 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2020-07-27

Last updated

2025-04-17