NPI 1194056630 · live from the CMS NPI Registry
Sara Ann Elsbecker, RN CPNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1194056630, active.
NPI record
| NPI | 1194056630 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2512 S 7th St, 2512 Building, 3rd Floor, Minneapolis, MN 55454 |
| Practice phone | 612-365-6777 |
| Mailing address | 420 Delaware St Se Mmc 730, Minneapolis, MN 55455 |
| Enumerated | January 22, 2010 |
| Last updated | April 20, 2012 |
| Sole proprietor | No |
| Other names | Sara Schlorholtz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R 178485-9 (MN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 20091559 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.