Individual
SARA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412-2141
(612) 887-6282
Mailing address
3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412-2141
(612) 887-6282
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R196968-7
MN
Other
Enumeration date
06/30/2014
Last updated
08/31/2022
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