GWEN P NORDAHL PA-C NPI 1003004318

Physician Assistant in Fergus Falls, MN

About GWEN NORDAHL

Gwen Nordahl is a provider in Fergus Falls, MN with more than 11 years of experience. The NPI number assigned to this provider is 1003004318. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Gwen Nordahl is registered with Medicare and accepts claims assignment.

NPI1003004318 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name GWEN P NORDAHL PA-C
Provider Location Address712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-09-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

GWEN P NORDAHL PA-C
712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537
Phone: (218) 736-8000
Fax: (218) 736-8757
Get Directions

Mailing Address

GWEN P NORDAHL PA-C
712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537
Phone: (218) 736-8000
Fax: (218) 736-8757

Primary Taxonomy

Taxonomy Code363A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.1065
License StateMN
Taxonomy DescriptionA 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Map Location


GWEN P NORDAHL PA-C address is 712 SOUTH CASCADE STREET FERGUS FALLS, MN 56537

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063422343 PAUL S ETZELL MD
Individual
Internal Medicine (Hematology & Oncology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1063434637 STEVEN B THOM MD
Individual
Ophthalmology712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1083640932DR. BRUCE M CARLISLE MD
Individual
Internal Medicine712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1124049564 LAWRENCE F. EISINGER MD
Individual
Pediatrics712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1134141708MR. JOHN MICHAEL TATE MD
Individual
Internal Medicine (Hematology & Oncology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1134149552 MARIE BRAATEN NP
Individual
Nurse Practitioner (Gerontology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1235171398 DENNIS A AMUNDSON MD
Individual
Family Medicine712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1366420242 DAVID W ELLISON MD
Individual
Family Medicine712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1376512178DR. ROBERT S NOYES MD
Individual
Emergency Medicine712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1407955479 VALI ORANDI MD
Individual
Radiology (Vascular & Interventional Radiology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1467552307 ORLO WILLIAM PETTIT MD
Individual
Obstetrics & Gynecology712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1528167244 JAMES A MATTER MD
Individual
Radiology (Diagnostic Radiology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1588764476 SCOTT H SAMSON MD
Individual
Internal Medicine712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1588765853 EDWARD A WILLIAMS MD
Individual
Orthopaedic Surgery712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1760492052 ERIC B FARNBERG DO
Individual
Anesthesiology712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1770593055 LISA M FARNBERG DO
Individual
Anesthesiology712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1801996715 DAVID J SANDERSON JR. MD
Individual
Family Medicine712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1902884554DR. SCOTT D PAULEY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1902906225 GREGORY M. SMITH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000
1992898936 JANICE HELENA NEEDHAM SPIES RD-LD,CDE
Individual
Dietitian, Registered712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
(218) 736-8000