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NPI Code Detail

MEDICARE: MISS MICHELLE SORENSEN MSN RN PHN SANE

MEDICARE: MISS MICHELLE SORENSEN MSN RN PHN SANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR1970443MN

General Provider Information

NPI Number : 1396699807
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MICHELLE SORENSEN MSN RN PHN SANE
Provider Business Mailing Address
First Line : 2670 18TH ST NW
Second Line :
City : OWATONNA
State : MN
Zip : 55060-1388
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2250 NW 26TH ST
Second Line :
City : OWATONNA
State : MN
Zip : 55060-5503
Country : US
Telephone Number : 507-977-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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