Beaulieu-Sanders, Kathy Ann

Beaulieu-Sanders, Kathy Ann is an individual health care provider with primary practice located at 2700 E 28Th St Suite 170, Minneapolis MN 55406-2990. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Beaulieu-Sanders, Kathy Ann can be contacted via phone (612) 872-1950.

Contact Information

Primary practice address
2700 E 28Th St Suite 170 Minneapolis MN 55406-2990
Phone: (612) 872-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X R 203349-9 Minnesota

Profile Details

NPI number 1275800971
LBN Legal business name Beaulieu-Sanders, Kathy Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2011
Last updated Nov 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275800971 NPPES
Minnesota MEDICAID 1902070584

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