Healthcare Provider Details
I. General information
NPI: 1881524841
Provider Name (Legal Business Name): ANGELINA MORIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 MAIN ST
SANDSTONE MN
55072-4410
US
IV. Provider business mailing address
501 MAIN ST
SANDSTONE MN
55072-4410
US
V. Phone/Fax
- Phone: 320-372-2323
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 241705-7 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: