Provider Demographics
NPI:1124685540
Name:ROSE LABINE, SARAH (APRN, CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ROSE LABINE
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CNM
Mailing Address - Street 1:582 KASSEL LN
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1495
Mailing Address - Country:US
Mailing Address - Phone:952-836-5312
Mailing Address - Fax:
Practice Address - Street 1:560 S MAPLE ST STE 130
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-1753
Practice Address - Country:US
Practice Address - Phone:952-442-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife