Individual
CARREN SOBREPENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7473 96TH ST S, COTTAGE GROVE, MN 55016-3866
(612) 594-0454
Mailing address
7473 96TH ST S, COTTAGE GROVE, MN 55016-3866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2026036834
MN
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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