Healthcare Provider Details

I. General information

NPI: 1932988516
Provider Name (Legal Business Name): SARAH JEAN BINEK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JEAN BIALKA

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44228 165TH AVE
HOLDINGFORD MN
56340-9808
US

IV. Provider business mailing address

44228 165TH AVE
HOLDINGFORD MN
56340-9808
US

V. Phone/Fax

Practice location:
  • Phone: 320-291-5157
  • Fax:
Mailing address:
  • Phone: 320-291-5157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number73907-0
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: