NPI 1013458009

Abby J Ross, PAC

Practitioner Surgical Physician Assistant Woodbury, MN

Practice location

Address: 2090 Woodwinds Dr, Woodbury, MN 55125-2522
Phone: (651) 968-5201
Fax: (651) 968-5904
Mailing address: 710 Commerce Dr Suite 200, Woodbury, MN 55125-4919

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 12369 (MN)

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Registry record

NPI: 1013458009
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2017
Record last updated: 1 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.