Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daniela Paz Fawson, PA-S

Individual provider Physician Assistant · NPI 1699420364

Daniela Paz Fawson, PA-S is a Physician Assistant in Logan, Utah. Qualified in 2022, 4 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
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Practice location Address checks out

1350 N 500 E
Logan, UT 84341-2400
Phone: (859) 351-1280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 389 S 900 E, Salt Lake City, UT 84102-2310 — (385) 282-2600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13050234-1206 (UT)

Record details

NPI number1699420364
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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