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NPI Code Detail

MEDICARE: JODY M SARKINEN RN

MEDICARE:   JODY M SARKINEN  RN
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 Nurse158237-8MN

General Provider Information

NPI Number : 1841966199
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY M SARKINEN RN
Provider Business Mailing Address
First Line : 4446 ARTHUR ST NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-3359
Country : US
Telephone Number : 763-788-4446
Fax Number :
Provider Business Practice Location Address
First Line : 4446 ARTHUR ST NE
Second Line :
City : COLUMBIA HEIGHTS
State : MN
Zip : 55421-3359
Country : US
Telephone Number : 763-788-4446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 08/17/2021

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