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Individual

SARA ANN ELSBECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CPNP

Contact information

Practice address
2512 S 7TH ST, 2512 BUILDING, 3RD FLOOR, MINNEAPOLIS, MN 55454-1404
(612) 365-6777
Mailing address
420 DELAWARE ST SE MMC 730, MINNEAPOLIS, MN 55455
(612) 626-5275
(612) 626-2993

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 178485-9
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
20091559
MN

Other

Enumeration date
01/22/2010
Last updated
04/20/2012
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