Active NPI
Eunice B Weslander, PAC
- Physician Assistant
- Saint Cloud, MN
National Provider Identifier
1215902879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8804
- Practice address
- 1301 33Rd St S
Saint Cloud, MN 56301-9668 - Phone
- (320) 251-8181
- Fax
- (320) 251-6942
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8804 | MN | Primary |
Addresses
Primary practice location
1301 33Rd St S
Saint Cloud, MN 56301-9668
Mailing address
251 County Road 120
Saint Cloud, MN 56303-4872
Phone (320) 202-8949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202852200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8804 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290729600000",
"number": "1215902879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034872",
"telephone_number": "320-202-8949",
"fax_number": "320-202-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 33RD ST S",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019668",
"telephone_number": "320-251-8181",
"fax_number": "320-251-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLANDER",
"first_name": "EUNICE",
"middle_name": "B",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2010-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "8804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202852200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.