Healthcare Provider Details

I. General information

NPI: 1841109717
Provider Name (Legal Business Name): SARAH LYNN WARREN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 FRANCE AVE S
EDINA MN
55435-3400
US

IV. Provider business mailing address

8837 JAMES AVE S
BLOOMINGTON MN
55431-2060
US

V. Phone/Fax

Practice location:
  • Phone: 952-927-6501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14019
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: