Individual
SANDRA AMI COULIBALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4534 VILLA PKWY UNIT A, EAGAN, MN 55122-1985
(651) 434-7587
(651) 340-7342
Mailing address
4534 VILLA PKWY UNIT A, EAGAN, MN 55122
(651) 434-7587
(651) 340-7342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R180112-7
MN
364SH0200X
Home Health Clinical Nurse Specialist
1086479-1HCBS
MN
374J00000X
Doula
—
—
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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