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

Individual provider Physician Assistant · NPI 1801189931

MS. Theresa Renae Fewless, PA-C is a Physician Assistant in Fargo, North Dakota. Licensed in District of Columbia, Iowa and North Dakota. Registered with an NPI since 2011.

Licensed in
DC, IA, ND
In the registry since
2011
Specialties on file
3
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

3000 32nd Ave S
Fargo, ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
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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 PAC0464 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 002198 (IA)
Physician Assistant Taxonomy 363A00000X · Licence PA031650 (DC)

Record details

NPI number1801189931
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2011
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

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