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Individual

SARAH ANNE STODDARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RN, CNP

Contact information

Practice address
14790 119TH ST N, STILLWATER, MN 55082-8906
(651) 439-8484
Mailing address
14082 TOLEDO CT, SAVAGE, MN 55378-1972
(612) 481-2664

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 128860-1
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
19990640
MN
363LP0200X
Pediatric Nurse Practitioner
R 128860-1
MN

Other

Enumeration date
03/19/2007
Last updated
09/11/2025
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