Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Autumn Nicole Malliard, PA-C

Individual provider Surgical Physician Assistant · NPI 1003659020

Mrs. Autumn Nicole Malliard, PA-C is a Physician Assistant in Du Bois, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Dubois Regional Medical Center, a 422-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

145 Hospital Ave Ste 300
Du Bois, PA 15801-1465
Phone: (814) 375-2040
Fax: (814) 375-2045
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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 MA065595 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA065595 (PA)

Record details

NPI number1003659020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dubois Regional Medical Center — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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