Individual
ELIZABETH HIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(218) 732-2800
(218) 732-2874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10244
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059882
LHS-BANNER HEALTH #
MN
05
—
1235274697
—
MN
01
—
138859
UCARE #
MN
01
—
27971
NDBS #
MN
05
—
524118000
—
MN
01
—
564L0HI
MNBS #
MN
01
—
564L1HI
MNBS #
MN
01
—
564L2HI
MNBS #
MN
01
—
HP77231
HEALTHPARTNERS #
MN
Enumeration date
02/21/2007
Last updated
03/07/2023
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