Taylor Adams
Individual provider Active NPI Physician Assistant · Arden Hills, MN
NPI 1053109249 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1053109249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2 Pine Tree Dr
Arden Hills, MN 55112-3754 - Phone
- (651) 645-8000
- NPI assigned
- Apr 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2 Pine Tree Dr
Arden Hills, MN 55112-3754
Mailing address
N566 County Road Em
Watertown, WI 53098-4528
Other providers in Arden Hills, MN
- A&E Health LLC
- Aliyah Abdella
- Zahra N Abdi
- Diana Abrego-Carrillo
- Zamzam Adamdhuuh
- Claire Adamski
- Naima Ahmed
- Sana Ahmed
- Zakirye Ahmed
- David Paul Akbari
All providers in Arden Hills, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.