Individual
SANDRA KAY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(770) 362-8642
(770) 943-8849
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(770) 362-8642
(770) 943-8849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN129147 NP
GA
Other
Enumeration date
11/08/2006
Last updated
06/25/2020
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