Individual
KATHRYN JANE SANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1118645
MN
367A00000X
Advanced Practice Midwife
Primary
CNM0160
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369169100
—
MN
Enumeration date
02/11/2007
Last updated
12/27/2019
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