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

MS. Alisabeth Anne Walburn, PA-C

Individual provider Physician Assistant · NPI 1639707045

MS. Alisabeth Anne Walburn, PA-C is a Physician Assistant in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

5794 Widewaters Pkwy
Syracuse, NY 13214-1845
Phone: (315) 422-1513
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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 026135 (NY)

Record details

NPI number1639707045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

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