Individual
SARAH IMDIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(651) 241-9700
Mailing address
4731 15TH AVE S, MINNEAPOLIS, MN 55407-3654
(612) 644-7185
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5698
MN
Other
Enumeration date
02/28/2018
Last updated
03/11/2021
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