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

Individual provider Physician Assistant · NPI 1750904819

Carly Witherell, PA-C is a Physician Assistant in Minneapolis, Minnesota. Practices as a sole proprietor and works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
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

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (612) 884-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3200 Grand Ave, Des Moines, IA 50312-4104 — (515) 271-1569
  • 5501 Feltl Rd, Minnetonka, MN 55343-3944 — (952) 746-0222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MN)

Record details

NPI number1750904819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 24, 2020
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address420 Delaware St Se, Minneapolis, MN 55455-0341

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