Individual provider · Type 1 NPI

Ellyn Marie Phearman, PA

Physician Assistant · St. Cloud, MN

NPI number 1952870339 Active

Practice location

251 County Road 120
St. Cloud, MN 56303-4872

Fax (320) 257-1733

Mailing address

85 S Union Blvd Apt 514
Denver, CO 80228-2289

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12813 (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 1952870339

Ellyn Marie Phearman, PA's National Provider Identifier is 1952870339, issued on Nov 15, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 15, 2018.