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NPI Code Detail

MEDICARE: WHITNEY SUE SARNSTROM CNP

MEDICARE: WHITNEY SUE SARNSTROM CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerCNP 4248MN

General Provider Information

NPI Number : 1063885440
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY SUE SARNSTROM CNP
Provider Business Mailing Address
First Line : 111 HUNDERTMARK RD
Second Line :
City : CHASKA
State : MN
Zip : 55318-4551
Country : US
Telephone Number : 952-856-4001
Fax Number :
Provider Business Practice Location Address
First Line : 111 HUNDERTMARK RD STE 115N
Second Line :
City : CHASKA
State : MN
Zip : 55318-1584
Country : US
Telephone Number : 952-777-5661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 08/07/2023

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Directions to “ WHITNEY SUE SARNSTROM CNP” Practice Location

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