NPI 1063058733

Andrea Bryan, PAC

Practitioner Physician Assistant Plymouth, MN

Practice location

Address: 1495 County Road 101 N, Plymouth, MN 55447-3078
Phone: (637) 504-6500
Mailing address: 5700 Bottineau Blvd STE 100, Crystal, MN 55429-3184

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1063058733
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2019
Record last updated: 15 Nov 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.