Individual
KARA MARIE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
615 1ST AVE NE STE 310, MINNEAPOLIS, MN 55413-2419
(612) 436-0295
Mailing address
3220 223RD ST W, FARMINGTON, MN 55024-4004
(319) 883-6431
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2245698
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11908
MN
Other
Enumeration date
01/19/2021
Last updated
08/07/2024
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