Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN M EDISON, PA-C
ActiveELLEN M EDISON, PA-C is a Physician Assistant healthcare provider located in COON RAPIDS, Minnesota. NPI 1588221311 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · COON RAPIDS, MN
Registration Details
- NPI Number
- 1588221311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2019 (7.1977511089937 yrs)
- Last Updated
- Dec 21, 2020
- License
-
13055 (MN)
Practice Information
- Address
-
11850 BLACKFOOT ST NW STE 130COON RAPIDS, MN, 554332583Browse MN providers · Browse ZIP 55433
- Phone
- 7632369000
- Fax
- 7632369010
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY G CUNNINGHAM | PA-C | 1558349431 |
| MS. HANNAH K. NEWCOMB | PA-C | 1073581195 |
| AMY M BERGLIN | PA-C | 1821057910 |
| CHRISTOPHER JG GORDON | PA-C | 1598727174 |
| DONNA DEGRACIA | P.A. | 1629017066 |
| JENNIFER MAYNARD MORIS | PA | 1760491476 |
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.