Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fairview

Organization Physician Assistant · NPI 1740143866

Fairview provides Physician Assistant services 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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