Individual provider · Type 1 NPI

Abigail Jean Tracy, PA-C

Physician Assistant · White Bear Lake, MN

NPI number 1336724590 Active

Practice location

4480 Centerville Rd
White Bear Lake, MN 55127

Call (651) 484-2724 Map

Fax (651) 484-2723

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X14165 (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 1336724590

Abigail Jean Tracy, PA-C's National Provider Identifier is 1336724590, issued on Mar 9, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Jan 19, 2024.