Individual
SARA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., BSN, PHN
Contact information
Practice address
323 PARKVIEW LN S, MAPLEWOOD, MN 55119-6915
(651) 226-8515
Mailing address
323 PARKVIEW LN S, MAPLEWOOD, MN 55119-6915
(651) 226-8515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-190988-3
MN
163W00000X
Registered Nurse
RN.1626608
CO
Other
Enumeration date
04/22/2014
Last updated
10/08/2014
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