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

Individual provider Physician Assistant · NPI 1083006753

Wesley Nathan Wormington, PA-C is a Physician Assistant in Saint Paul, Minnesota. Licensed in Minnesota and Missouri. Registered with an NPI since 2015.

Licensed in
MN, MO
In the registry since
2015
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

777 Raymond Ave
Saint Paul, MN 55114-1522
Phone: (651) 447-3755
Fax: (651) 444-8923
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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 14197 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 2015006472 (MO)

Record details

NPI number1083006753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 4, 2015
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

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