Healthcare Provider Details

I. General information

NPI: 1447965256
Provider Name (Legal Business Name): SARAH JOY BERHOW APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JOY HUMMER APRN, CNP

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 HEWITT BLVD
RED WING MN
55066-2848
US

IV. Provider business mailing address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

V. Phone/Fax

Practice location:
  • Phone: 651-267-5000
  • Fax:
Mailing address:
  • Phone: 651-267-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9923
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2179861
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: