National Provider Identifier Database

ABIGAIL J TRACY, PA-C – NPI #1336724590
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

ABIGAIL J TRACY, PA-C
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN55127
Phone: 651-484-2724
Fax: 651-484-2723
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for ABIGAIL J TRACY

NPI Number 1336724590
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/09/2021
Last updated 01/19/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 14165
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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