Individual
SONDRA MARIE BANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
225 SMITH AVE N STE 500, SAINT PAUL, MN 55102-2545
(651) 292-0007
(651) 241-2740
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9209588
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
10225
MN
363LG0600X
Gerontology Nurse Practitioner
ARNP9209588
FL
363LG0600X
Gerontology Nurse Practitioner
H155677
IA
Other
Enumeration date
09/28/2017
Last updated
10/16/2023
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