Individual provider · Type 1 NPI

Brenna Aden Rutherford, PAC

Medical Physician Assistant · St. Paul, MN

NPI number 1497040026 Active

Practice location

333 Smith Ave N
St. Paul, MN 55102-2344

Call (651) 241-8000 Map

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10947 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1497040026

Brenna Aden Rutherford, PAC's National Provider Identifier is 1497040026, issued on Jun 11, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Paul, MN. The record was last updated on Nov 2, 2023.