| Doctor Name: | SARAH MINNICK |
| NPI Number: | 1033459250 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 216044-3 |
| Business Practice Address: | 1025 Marsh St Mankato, MN - 560014752 |
| Business Phone Number: | 5073852620 |
| Business Fax Number: | |
| Mailing Address: | 1751 Southcross Dr W, BURNSVILLE |
| State: | MN |
| Postal Code: | 553067012 |
| Phone Number: | 9528927690 |
| Fax Number: | 9528984930 |
| NPI Enumeration Date: | 02/25/2013 |
| NPI Last Update Date: | 06/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 216044-3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |