Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA LENORE ERTSGAARD, PA-C
ActiveREBECCA LENORE ERTSGAARD, PA-C is a Physician Assistant healthcare provider located in BLAINE, Minnesota. NPI 1629623525 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLAINE, MN
Registration Details
- NPI Number
- 1629623525
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2019 (6.9945252877265 yrs)
- Last Updated
- May 20, 2024
- License
-
13052 (MN)
Practice Information
- Address
-
11091 ULYSSES ST NE STE 100BLAINE, MN, 554344238Browse MN providers · Browse ZIP 55434
- Phone
- 6128791000
- Fax
- 6128790722
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN W STOULIL | PAC | 1104800358 |
| RICHARD B HATHAWAY | PAC | 1710961966 |
| CYNTHIA S JANSEN | PAC | 1457335044 |
| MICHELLE MANOS | PA-C | 1760539746 |
| TIFFANY S HALL | PA-C | 1205012424 |
| MR. SHANE M. TSUBAKI | PA-C | 1336309384 |
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.