Lily Sanjaya CNP

NPI 1740687854 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1740687854
Gender Female
Enumeration Date 12/04/2014
Last Updated 12/04/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
1025 MARSH ST
MANKATO MN, 56001-4752, US
Phone (507) 625-4031
Fax
Business Location
1025 MARSH ST
MANKATO MN, 56001-4752, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Minnesota
License Number R223568
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According to our database, Lily Sanjaya CNP NPI is 1740687854, taxonomy code is 363LF0000X and license number is R223568, license state is located at Minnesota. Lily Sanjaya CNP physically located at 1025 Marsh St, Mankato MN, 56001-4752. NPI Number Lily Sanjaya CNP has the Individual type.

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1740687854 NPI number is provided on an as is basis without warranty of any kind. 1740687854 is maintained by the National Plan & Provider Enumeration System. The contents of Lily Sanjaya CNP are for informational purposes only.