Individual
SAUNDA ST MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, APRN
Contact information
Practice address
24760 HOSPITAL DRIVE, REDLAKE, MN 56671
(218) 679-3912
Mailing address
PO BOX 155, BEMIDJI, MN 56619-0155
(218) 209-1137
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
R1077485
MN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R107748-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014080500
—
MN
01
—
0199999
MEDICA
MN
01
—
107121
HEALTH PARTNERS
MN
05
—
13481
—
ND
01
—
78M12ST
BCBS
MN
01
—
P00184098
RR MEDICARE
MN
Enumeration date
08/09/2006
Last updated
08/17/2018
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