Healthcare Provider Details

I. General information

NPI: 1205088325
Provider Name (Legal Business Name): SARAH MARY-PAYNE OSWALD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 HUDSON BLVD N STE 200
OAKDALE MN
55128-7098
US

IV. Provider business mailing address

7200 HUDSON BLVD N STE 230
OAKDALE MN
55128-7098
US

V. Phone/Fax

Practice location:
  • Phone: 651-735-3656
  • Fax:
Mailing address:
  • Phone: 651-735-3656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR160820-7
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR160820-7
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: