Provider Demographics
NPI:1992242648
Name:MARSTEIN, SARAH LEEVIE (RN, MSN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LEEVIE
Last Name:MARSTEIN
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LEEVIE
Other - Last Name:RUDNITSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 2ND ST S
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377
Mailing Address - Country:US
Mailing Address - Phone:320-281-3339
Mailing Address - Fax:320-200-7505
Practice Address - Street 1:111 2ND ST S
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377
Practice Address - Country:US
Practice Address - Phone:320-281-3339
Practice Address - Fax:320-200-7505
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 4972363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics