IndividualActive
Carley Bacon, PA-C
NPI 1316417157 · Surgical Physician Assistant · Cambridge, MN
Provider details
- NPI number
- 1316417157
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA12540 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
701 Dellwood St S
Cambridge, MN 55008-1920
Phone: (763) 689-8700
Fax: (763) 688-7941
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Additional practice locations (1)
- 8230 Walnut Hill Ln Ste 320Dallas, TX 75231-4481Phone: (214) 369-5432Fax: (214) 369-5591
Registry dates
- Enumerated
- 2018-12-04
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.