Individual provider · Type 1 NPI

Nea Rae Bennington, PA-C

Physician Assistant · St. Louis Park, MN

NPI number 1205277571 Active

Practice location

3931 Louisiana Ave S
St. Louis Park, MN 55426-5000

Call (952) 993-3230 Map

Fax (952) 993-1748

Mailing address

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

Other practice locations

  • 8290 University Ave NE, Suite 200, Fridley, MN 55432-1847 · (763) 786-9543

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11384 (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 1205277571

Nea Rae Bennington, PA-C's National Provider Identifier is 1205277571, issued on Jul 15, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis Park, MN. The record was last updated on May 12, 2022.