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NPI Code Detail

MEDICARE: MRS. SARA MARIE HUGOSON RN, NP

MEDICARE: MRS. SARA MARIE HUGOSON RN, NP
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
1163W00000XRegistered Nurse2459635MN
2163W00000XRegistered Nurse225556WI
3363LF0000XFamily Nurse Practitioner6239MN

General Provider Information

NPI Number : 1194199752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA MARIE HUGOSON RN, NP
Provider Business Mailing Address
First Line : 2838 60TH ST
Second Line :
City : GRANADA
State : MN
Zip : 56039-3144
Country : US
Telephone Number : 507-525-6768
Fax Number :
Provider Business Practice Location Address
First Line : 1385 PHALEN BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-2126
Country : US
Telephone Number : 612-513-6694
Fax Number : 651-493-4221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2015
Last Update Date : 02/26/2025

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