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Contact Information

SOFIA N VASILYEVA, PA
1000 W. 140TH ST.
SUITE #100
BURNSVILLE, MN55337
 Phone: 952-435-0303
 Fax: 952-892-5166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SOFIA N VASILYEVA · (Female)

NPI Number 1164164497
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/07/2022
Last updated 01/18/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 14242
  • MN Other 14242 MN PA LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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