National Provider Identifier Database

SANDRA L IVERSON, CPNP – NPI #1790886976
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SANDRA L IVERSON, CPNP
NORTH METRO PEDIATRICS 10081 DOGWOOD STREET NW
SUITE 100
COON RAPIDS, MN55448
Phone: 763-783-3722
Fax: 763-783-7944
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SANDRA L IVERSON

NPI Number 1790886976
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2006
Last updated 10/03/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MN License #: R 063381-7
  • MN Medicaid: 941742700
  • MT Medicaid: 4305613
  • WI Medicaid: 43929100
  • Other: 1576851 AMERICAS PPO/ARAZ
  • Other: A520 CHAMPUS
  • Other: 12-00987 MEDICA-CHOICE
  • Other: 12-09026 MEDICA-PRIMARY
  • Other: 1043948 PREFERRED ONE
  • Other: P00014192 RAILROAD MEDICARE
  • MN Other: 025A2IV BCBS
  • MN Other: 207209 FAIRVIEW
  • MN Other: HP21983 HEALTH PARTNERS
  • MN Other: 104736 U CARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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