Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1194490961 |
---|---|
Provider Name | Mersadies St Andrew |
First Address | Saint Cloud, MN 56301-3753 |
Second Address | Saint Cloud, MN 56301-3753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2021 |
Last Update Date | 12/08/2021 |