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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROSALYNN VERTIZ-HACKETT, PA

Active

ROSALYNN VERTIZ-HACKETT, PA is a Physician Assistant healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1053411157 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1053411157
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2006 (19.861982709955 yrs)
Last Updated
Jan 11, 2016
Licenses
PA04432 (TX)
11431 (MN)

Practice Information

Address
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN, 551103653
Browse MN providers · Browse ZIP 55110
Phone
6516532100
Fax
6516532125
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WHITE BEAR LAKE, MN

Name Credential NPI
JOY YANG PA-C 1245219922
CHERIDA IRENE MCCALL CNM 1184691115
ROGER K KOOPMAN PA 1023025566
MRS. SARAH SLATTERY PA-C 1578921714
MRS. AMY SPITZMUELLER BORASH PA-C 1356888275
ROBIN ERICKSON PA-C 1982174694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.