Individual provider · Type 1 NPI

Nicholas Peter Wanner, PA-C

Physician Assistant · Eagan, MN

NPI number 1124564240 Active

Practice location

1885 Plaza Dr
Eagan, MN 55122-2979

Call (952) 993-4001 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X12349 (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 1124564240

Nicholas Peter Wanner, PA-C's National Provider Identifier is 1124564240, issued on Jan 12, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eagan, MN. The record was last updated on Aug 15, 2025.