Individual
SARA MARIE MESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1853845
MN
363LF0000X
Family Nurse Practitioner
R1853845
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
2320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1853845
LICENSE
MN
Enumeration date
03/14/2013
Last updated
06/19/2019
Update your record
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