Provider Demographics
NPI:1205169901
Name:SALTER, RANDI L (RN, CNP-A)
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:L
Last Name:SALTER
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Gender:F
Credentials:RN, CNP-A
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-7584
Practice Address - Street 1:401 PHALEN BLVD
Practice Address - Street 2:HEALTHPARTNERS SPECIALITY CENTER 401
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-7580
Practice Address - Fax:651-254-7584
Is Sole Proprietor?:No
Enumeration Date:2009-09-12
Last Update Date:2011-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNA0809049363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health