Healthcare Provider Details

I. General information

NPI: 1932655701
Provider Name (Legal Business Name): SANDRA ROHR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA DEE ROHR ARNP FNP-BC

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 BRIDGE AVE
ALBERT LEA MN
56007-2005
US

IV. Provider business mailing address

2440 BRIDGE AVE STE 100
ALBERT LEA MN
56007-2098
US

V. Phone/Fax

Practice location:
  • Phone: 507-320-7474
  • Fax: 507-320-7475
Mailing address:
  • Phone: 507-320-7474
  • Fax: 507-320-7475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number103876
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: