Individual
SOPHIA ALEXANDRA ERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15380 COTTONWOOD ST NW, ANDOVER, MN 55304-8503
(612) 990-0883
Mailing address
15380 COTTONWOOD ST NW, ANDOVER, MN 55304-8503
(612) 990-0883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2225511
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2879
MN
Other
Enumeration date
09/08/2020
Last updated
09/18/2023
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