Healthcare Provider Details

I. General information

NPI: 1427963404
Provider Name (Legal Business Name): SARAH KEPPEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 PRAIRIE CENTER DR
EDEN PRAIRIE MN
55344-7301
US

IV. Provider business mailing address

344 PONDRIDGE CIR
WAYZATA MN
55391-1373
US

V. Phone/Fax

Practice location:
  • Phone: 952-826-6500
  • Fax:
Mailing address:
  • Phone: 612-816-1470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14591
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: