Individual
MARY A SACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
347 SMITH AVE N, CHILDRENS SPECIALTY LCINIC- ASTHMA EDUCATION STPL, SAINT PAUL, MN 55102-2387
(651) 220-6101
(651) 220-6589
Mailing address
2910 CENTRE POINTE DR 35-121A, CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R121909-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578024100
—
MN
Enumeration date
08/02/2005
Last updated
08/31/2012
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