Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashtyn Livermore, PA-C

Individual provider Physician Assistant · NPI 1730009366

Ashtyn Livermore, PA-C is a Physician Assistant in Fort Wayne, Indiana. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12817 Parkview Plaza Dr
Fort Wayne, IN 46845-1741
Phone: (269) 275-1410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013902 (MI)

Record details

NPI number1730009366
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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