Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABIGAIL JEAN TRACY, PA-C
Active Sole ProprietorABIGAIL JEAN TRACY, PA-C is a Physician Assistant healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1336724590 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1336724590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2021 (5.4311190416882 yrs)
- Last Updated
- Jan 19, 2024
- License
-
14165 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4480 CENTERVILLE RDWHITE BEAR LAKE, MN, 55127Browse MN providers · Browse ZIP 55127
- Phone
- 6514842724
- Fax
- 6514842723
- 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 |
| ROSALYNN VERTIZ-HACKETT | PA | 1053411157 |
| MRS. SARAH SLATTERY | PA-C | 1578921714 |
| MRS. AMY SPITZMUELLER BORASH | PA-C | 1356888275 |
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.