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Abigail Jean Tracy, PA-C
Physician Assistant in White Bear Lake, Minnesota
NPI 1336724590

Abigail Jean Tracy is a Physician Assistant based in White Bear Lake, MN. Abigail Jean Tracy practices in White Bear Lake, MN and has the professional credentials of PA-C. The NPI Number for Abigail Jean Tracy is 1336724590 and holds a License No. (Minnesota).

The current practice location address for Abigail Jean Tracy is 4480 Centerville Rd, White Bear Lake, MN and can be reached out via phone at 651-484-2724 and via fax at 651-484-2723.

Location: 4480 Centerville Rd, White Bear Lake, MN, 55127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336724590
Provider Name
Abigail Jean Tracy
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4480 Centerville Rd, White Bear Lake, MN, 55127
Phone Number
651-484-2724
Fax Number
651-484-2723
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4480 Centerville Rd
City
White Bear Lake
State
Minnesota
Zip
55127
Phone Number
651-484-2724
Fax Number
651-484-2723
person
Provider Business Mailing Address Details
Address
4480 Centerville Rd
City
White Bear Lake
State
Minnesota
Zip
55127
Phone Number
651-484-2724
Fax Number
651-484-2723
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
14165 (Minnesota)
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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