Provider Demographics
NPI:1841715257
Name:SANDVIG, RACHEL CATHERINE (MSN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CATHERINE
Last Name:SANDVIG
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:CATHERINE
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN
Mailing Address - Street 1:100 W 40TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1507
Mailing Address - Country:US
Mailing Address - Phone:715-529-0376
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR233839-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse