MEDICARE: ANNA MEILING HENNEN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	14083	MN

General Provider Information

NPI Number	:	1902537301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MEILING HENNEN PA-C

Provider Business Mailing Address
First Line	:	2800 CHICAGO AVE STE 400
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1352
Country	:	US
Telephone Number	:	612-262-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 28TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3799
Country	:	US
Telephone Number	:	612-863-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	07/02/2026

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Directions to “ ANNA MEILING HENNEN PA-C” Practice Location

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