IndividualActive
Crystal Waagmeester, PA
NPI 1861798936 · Medical Physician Assistant · East Gull Lake, MN
Provider details
- NPI number
- 1861798936
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11309 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3559 Shady Lane Cir
East Gull Lake, MN 56401-7940
Phone: (218) 234-3101
Approximate (ZIP-level) locationGet directions
Mailing address
3559 Shady Lane Cir
East Gull Lake, MN 56401-7940
Registry dates
- Enumerated
- 2011-02-07
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.