Sandra Lee Mctavish, CNP
NPI #1023070299 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1023070299
- Entity Type
- Individual
- Name
- Sandra Lee Mctavish, CNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1690 UNIVERSITY AVE W
- Address 2
- SUITE 460
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-3723
- Phone
- (651) 232-2002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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