Provider Demographics
NPI:1538727888
Name:SAULSBURY, KALI ANNE (RN, CNP)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:ANNE
Last Name:SAULSBURY
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:ANNE
Other - Last Name:SHAROT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNP
Mailing Address - Street 1:2497 7TH AVENUE E.
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2946
Mailing Address - Country:US
Mailing Address - Phone:651-769-6437
Mailing Address - Fax:651-769-6599
Practice Address - Street 1:3460 WASHINGTON DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1339
Practice Address - Country:US
Practice Address - Phone:612-769-6200
Practice Address - Fax:651-769-6249
Is Sole Proprietor?:No
Enumeration Date:2019-06-02
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN190179-30163WP0808X
MN7454363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health