Berardi, Sandra Marie

Berardi, Sandra Marie is an individual health care provider with primary practice located at 920 2Nd Ave S Suite 400, Minneapolis MN 55402-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Berardi, Sandra Marie can be contacted via phone (612) 225-1512.

Contact Information

Primary practice address
920 2Nd Ave S Suite 400 Minneapolis MN 55402-3318
Phone: (612) 225-1512
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 120504 Massachusetts

Profile Details

NPI number 1508858689
LBN Legal business name Berardi, Sandra Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 13th, 2009 - about 17 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 1508858689 NPPES
Massachusetts MEDICAID 0390470
Massachusetts Other NP3846

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