Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abby Marie Willaert, PA-C

Individual provider Physician Assistant · NPI 1316207921

Abby Marie Willaert, PA-C is a Physician Assistant in Saint Paul, Minnesota. Works from 3 locations. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 927 Churchill St W, Stillwater, MN 55082-6605 — (651) 439-5330
  • 405 Stageline Rd, Hudson, WI 54016-7848 — (715) 531-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1716 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 3071-23 (WI)

Record details

NPI number1316207921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESMay 13, 2019

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