Individual provider · Type 1 NPI
Katelynn Mae Nyberg, PA-C
Physician Assistant · Maple Grove, MN
Practice location
12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 13511 (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 1639707250
Katelynn Mae Nyberg, PA-C's National Provider Identifier is 1639707250, issued on Mar 30, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maple Grove, MN. The record was last updated on Jul 24, 2025.