IndividualActive
Brenna Rutherford, PAC
NPI 1497040026 · Medical Physician Assistant · Saint Paul, MN
Provider details
- NPI number
- 1497040026
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10947 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone: (651) 241-8000
Approximate (ZIP-level) locationGet directions
Mailing address
2829 University Ave Se Ste 730
Minneapolis, MN 55414-3279
Registry dates
- Enumerated
- 2011-06-11
- Last updated
- 2023-11-02
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.