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

Tiffany S Hall, PA-C

Individual provider Physician Assistant · NPI 1205012424

Tiffany S Hall, PA-C is a Physician Assistant in Blaine, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1500 109th Ave NE
Blaine, MN 55449
Phone: (763) 421-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 109th Ave Ne, Blaine, MN 55449-4670 — (763) 421-5011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10653 (MN)

Record details

NPI number1205012424
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2008
Last updated in NPPESJanuary 20, 2019

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