Provider Demographics
NPI:1417922386
Name:SANEI, NASRIN H (CNM)
Entity Type:Individual
Prefix:
First Name:NASRIN
Middle Name:H
Last Name:SANEI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:NASRIN
Other - Middle Name:HASHEMI
Other - Last Name:NEZHAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-653-2111
Practice Address - Street 1:1430 HWY 96 E - MAIL STOP 32300A
Practice Address - Street 2:HEALTHPARTNERS WHITE BEAR LAKE CLINIC
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-7693
Practice Address - Country:US
Practice Address - Phone:651-426-1980
Practice Address - Fax:651-653-2111
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1294459367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN135792100Medicaid
P70937Medicare UPIN
MN420000411Medicare ID - Type Unspecified