Burt, Sandra Jean

Burt, Sandra Jean is an individual health care provider with primary practice located at 900 Nicollet Mall , Minneapolis MN 55403-2530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burt, Sandra Jean can be contacted via phone (612) 659-7111.

Contact Information

Primary practice address
900 Nicollet Mall Minneapolis MN 55403-2530
Phone: (612) 659-7111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1088678 Minnesota

Profile Details

NPI number 1477547982
LBN Legal business name Burt, Sandra Jean
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jan 22nd, 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 1477547982 NPPES
Minnesota MEDICAID 640121000

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