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

Erin Joy De la Bruere, PA

Individual provider Physician Assistant · NPI 1619625639

Erin Joy De la Bruere, PA is a Physician Assistant in Roseville, Minnesota. Qualified in 2022, 4 years ago. Practices with Tareen Dermatology PA, a 44-clinician group.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 663-6883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619625639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 17, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tareen Dermatology Pa — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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