IndividualActive
Alaysia Freetly
NPI 1609636182 · Physician Assistant · White Bear Lake, MN
Provider details
- NPI number
- 1609636182
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4480 Centerville Rd
White Bear Lake, MN 55127-3674
Phone: (651) 484-2724
Approximate (ZIP-level) locationGet directions
Mailing address
3325 E 52nd St Apt 301
Minneapolis, MN 55417-2935
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.