CARISSA PARDEKOOPER, PA-C
Physician Assistant
Active
Individual
NPI: 1063815017
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0110008037 (VA) |
Frequently Asked Questions
NPI 1063815017 is the National Provider Identifier for CARISSA PARDEKOOPER, PA-C, a Physician Assistant provider located in Virginia Beach, VA. This NPI was enumerated on October 6, 2014.
CARISSA PARDEKOOPER, PA-C practices at 2117 GENERAL BOOTH BLVD, Virginia Beach, VA 23454.
Quick Facts
- NPI
- 1063815017
- Type
- Individual
- Enumerated
- Oct 6, 2014
- Last Updated
- Jul 18, 2025
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