Individual
DARYL GLENN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9130
MN
Other
Enumeration date
04/01/2022
Last updated
07/18/2023
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