Provider Demographics
NPI:1912009556
Name:ROBINSON, SARA L (CNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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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:651-486-2320
Mailing Address - Fax:651-486-2321
Practice Address - Street 1:576 APOLLO DR
Practice Address - Street 2:
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55014-3004
Practice Address - Country:US
Practice Address - Phone:651-486-2320
Practice Address - Fax:651-486-2321
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR159818-4363LF0000X
MN0677363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily