National Provider Identifier Database

MARY MCENELLY, PA C – NPI #1215993811
Physician Assistant

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.


Contact Information

MARY MCENELLY, PA C
120 LABREE AVENUE SOUTH
NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION
THIEF RIVER FALLS, MN56701
Phone: 218-683-4351
Fax: 218-683-4362
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for MARY MCENELLY

NPI Number 1215993811
Credentials PA C
Entity Individual
Enumeration date 04/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 9315
Hospital affiliation n/a

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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