Individual
MS. SARAH HACKWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
PO BOX 1309, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14335
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/22/2022
Last updated
08/27/2024
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