Individual
SHARON BOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
(612) 706-5509
Mailing address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
(612) 706-5509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R108201-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R108201-4
LICENSE
MN
Enumeration date
10/27/2014
Last updated
10/27/2014
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