Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview

Organization Physician Assistant · NPI 1740143866

Fairview is a Physician Assistant in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2450 Riverside Ave Ste MN213
Minneapolis, MN 55454-1450
Phone: (612) 273-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740143866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaitlin Goulet — Physician Assistant · (651) 270-6699
NPI enumeratedDecember 5, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address2450 Riverside Ave Ste Mn213, Minneapolis, MN 55454-1450

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