Provider Demographics
NPI:1154899219
Name:VILLAFRANCA, SARAH MADELINE (RN, CNP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MADELINE
Last Name:VILLAFRANCA
Suffix:
Gender:F
Credentials:RN, CNP
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Mailing Address - Street 1:2497 7TH AVE E STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2946
Mailing Address - Country:US
Mailing Address - Phone:651-769-6437
Mailing Address - Fax:651-769-6449
Practice Address - Street 1:3460 WASHINGTON DR STE 200
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-4302
Practice Address - Country:US
Practice Address - Phone:651-769-6200
Practice Address - Fax:651-769-6249
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2467821163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2467821OtherMINNESOTA STATE BOARD OF NURSING
MN6142OtherMINNESOTA BOARD OF NURSING-CERTIFIED NURSE PRACTITIONER