Individual provider · Type 1 NPI

Samantha May Delacey

Physician Assistant · St. Paul, MN

NPI number 1013663012 Active

Practice location

401 Phalen Blvd
St. Paul, MN 55130-5302

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 507 North 17th Street, Milwaukee, WI 53233 · (414) 288-5688

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X14144 (MN)
Physician Assistant Primary 363A00000X14144 (MN)

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, orde…

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About NPI 1013663012

Samantha May Delacey's National Provider Identifier is 1013663012, issued on Feb 28, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 22, 2025.