OrganizationActive
Mary E. Sanders
NPI 1255740601 · Health Maintenance Organization · Shoreview, MN
Provider details
- NPI number
- 1255740601
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mary Sanders, Lic Marriage and Family Therapapist(651) 402-0618
- License
- 1787 (MN)
Specialties & taxonomies
Managed Care Organizations
Practice location
1000 County Road E W
Suite 142
Shoreview, MN 55126-8054
Phone: (651) 402-0618
Approximate (ZIP-level) locationGet directions
Mailing address
1000 County Road E W
Shoreview, MN 55126-8054
Registry dates
- Enumerated
- 2014-08-11
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.