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Madelyn Rae Petry, PA
Student in an Organized Health Care Education/Training Program in Shoreview, Minnesota
NPI 1205557428

Madelyn Rae Petry is a Student in an Organized Health Care Education/Training Program based in Shoreview, MN. Madelyn Rae Petry practices in Shoreview, MN and has the professional credentials of PA. The NPI Number for Madelyn Rae Petry is 1205557428 and holds a License No. (Minnesota).

The current practice location address for Madelyn Rae Petry is 4257 Highland Dr, Shoreview, MN and can be reached out via phone at 651-252-9011.

Location: 4257 Highland Dr, Shoreview, MN, 55126-3124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205557428
Provider Name
Madelyn Rae Petry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4257 Highland Dr, Shoreview, MN, 55126-3124
Phone Number
651-252-9011
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4257 Highland Dr
City
Shoreview
State
Minnesota
Zip
55126-3124
Phone Number
651-252-9011
Fax Number
person
Provider Business Mailing Address Details
Address
4257 Highland Dr
City
Shoreview
State
Minnesota
Zip
55126-3124
Phone Number
651-252-9011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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