Provider Demographics
NPI:1255227716
Name:SANYI, CARINE
Entity type:Individual
Prefix:
First Name:CARINE
Middle Name:
Last Name:SANYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 126TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-4004
Mailing Address - Country:US
Mailing Address - Phone:763-229-2684
Mailing Address - Fax:
Practice Address - Street 1:1348 126TH AVE NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55448-4004
Practice Address - Country:US
Practice Address - Phone:763-229-2684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN201889-8163WG0600X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WG0600XNursing Service ProvidersRegistered NurseGerontology