Individual
SANDRA JEAN BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
900 NICOLLET MALL, MINNEAPOLIS, MN 55403-2530
(612) 659-7111
Mailing address
2526 TAYLOR ST NE, MINNEAPOLIS, MN 55418-3732
(612) 788-6602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1088678
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640121000
—
MN
Enumeration date
09/12/2005
Last updated
01/22/2009
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