NPI 1073966115 · live from the CMS NPI Registry
Sarah Entinger, CNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1073966115, active.
NPI record
| NPI | 1073966115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2450 Riverside Ave, Minneapolis, MN 55454 |
| Practice phone | 612-672-6000 |
| Enumerated | July 13, 2016 |
| Last updated | October 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | CNP 4647 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.