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NPI Code Detail

MEDICARE: MS. SARAH MADELINE VILLAFRANCA RN, CNP

MEDICARE:  MS. SARAH MADELINE VILLAFRANCA  RN, 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
1163WP0808XPsychiatric/Mental Health Registered Nurse2467821MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12467821OTHERMNMINNESOTA STATE BOARD OF NURSING
26142OTHERMNMINNESOTA BOARD OF NURSING-CERTIFIED NURSE PRACTITIONER

General Provider Information

NPI Number : 1154899219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH MADELINE VILLAFRANCA RN, CNP
Provider Business Mailing Address
First Line : 2497 7TH AVE E STE 101
Second Line :
City : NORTH ST PAUL
State : MN
Zip : 55109-2946
Country : US
Telephone Number : 651-769-6437
Fax Number : 651-769-6449
Provider Business Practice Location Address
First Line : 3460 WASHINGTON DR STE 200
Second Line :
City : EAGAN
State : MN
Zip : 55122-4302
Country : US
Telephone Number : 651-769-6200
Fax Number : 651-769-6249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2018
Last Update Date : 11/07/2018

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