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Contact Information

SANDRA A COULIBALY, RN
4534 VILLA PKWY UNIT A
EAGAN, MN55122-1985
 Phone: 651-434-7587
 Fax: 651-340-7342
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Doula

374J00000X
 

Home Health

364SH0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SANDRA A COULIBALY · (Female)

NPI Number 1942739859
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/06/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1086479-1HCBS
  • MN License # R180112-7
Hospital affiliation(s) Not Available
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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