Sandra L Iverson CPNP

NPI 1790886976 - Pediatrics - 208000000X

NPI Details
NPI 1790886976
Gender Female
Enumeration Date 09/26/2006
Last Updated 10/03/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
NORTH METRO PEDIATRICS 10081 DOGWOOD STREET NW
SUITE 100
COON RAPIDS MN, 55448, US
Phone (763) 783-3722
Fax (763) 783-7944
Business Location
NORTH METRO PEDIATRICS 10081 DOGWOOD STREET NW
SUITE 100
COON RAPIDS MN, 55448, US
Phone (763) 783-3722
Fax (763) 783-7944
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number R 063381-7
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According to our database, Sandra L Iverson CPNP NPI is 1790886976, taxonomy code is 208000000X and license number is R 063381-7, license state is located at Minnesota. Sandra L Iverson CPNP physically located at North Metro Pediatrics 10081 Dogwood Street Nw, Coon Rapids MN, 55448. NPI Number Sandra L Iverson CPNP has the Individual type.

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1790886976 NPI number is provided on an as is basis without warranty of any kind. 1790886976 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra L Iverson CPNP are for informational purposes only.