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

Hailey Grace Shaull, PA-C

Individual provider Physician Assistant · NPI 1902578131

Hailey Grace Shaull, PA-C is a Physician Assistant in Richfield, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
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

7430 Wentworth Ave
Richfield, MN 55423-4133
Phone: (612) 488-0040
Fax: (833) 973-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13878 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902578131
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

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