Individual
SADIE ANN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-3917
Mailing address
5320 W 23RD ST, ST LOUIS PARK, MN 55416-1663
(763) 581-5678
(763) 581-9341
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R161013-0
MN
Other
Enumeration date
07/19/2012
Last updated
06/28/2021
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