Individual
SARA MARIE GERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7032
Mailing address
18004 JACQUARD PATH, LAKEVILLE, MN 55044-6625
(612) 414-9201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
723
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0620
—
AK
Enumeration date
10/02/2006
Last updated
02/19/2013
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