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Alexa Jordan Habeth, PA

Physician Assistant in Burnsville, MN. Individual provider (NPI-1).

NPI number1508324328
StatusActive
Last updated in NPPESApr 6, 2023

Details

NPI
1508324328
Entity type
Individual (NPI-1)
Name
Alexa Jordan Habeth
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2019
Certification date
Apr 6, 2023
Last updated
Apr 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant12962MNYes

Practice location

350 W Burnsville Pkwy Ste 200
Burnsville, MN 55337-2598

Phone 612-444-3247 · Fax 612-888-9247

Mailing address

Po Box 272
Willernie, MN 55090-0272

Phone 612-405-0297

Other practice locations

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568

Phone 612-444-3247 · Fax 612-888-9247

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