Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY R WISE, PA-C
ActiveAMY R WISE, PA-C is a Physician Assistant healthcare provider located in WACONIA, Minnesota. NPI 1245602481 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WACONIA, MN
Registration Details
- NPI Number
- 1245602481
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2015 (10.787653142525 yrs)
- Last Updated
- Aug 14, 2025
- License
-
14659 (MN)
Practice Information
- Address
-
820 VILLAGE WAY STE 200WACONIA, MN, 553874612Browse MN providers · Browse ZIP 55387
- Phone
- 9524422163
- Fax
- 9524567895
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WACONIA, MN
| Name | Credential | NPI |
|---|---|---|
| JASON HICKS | PA | 1306885033 |
| VICTORIA LEA JONES | PA | 1679595052 |
| RACHEL L LIEBENOW | PA-C | 1629184320 |
| SOMMER NICOLE VAUGHAN | PA-C | 1104932748 |
| ERIN ELIZABETH BISCHOFF | PAC | 1366642563 |
| ELIZABETH ANNE RADKE | PA-C | 1124286901 |
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.