Individual
SANDRA PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1101 LINDEN LN, FARIBAULT, MN 55021-6400
(507) 334-0734
Mailing address
2901 VILLAGE DR, FARIBAULT, MN 55021-1936
(651) 428-3345
(320) 255-5634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 119720-0
MN
Other
Enumeration date
11/18/2009
Last updated
04/26/2018
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