Individual provider · NPI-1

Sarah Christina Cornell, PA-S

Physician Assistant · Coon Rapids, MN

NPI number1619667813
StatusActive
Last updated in NPPESMay 7, 2026

Details

NPI
1619667813
Entity type
Individual (NPI-1)
Name
Sarah Christina Cornell
Credential
PA-S
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2023
Certification date
May 7, 2026
Last updated
May 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant15548MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

4040 Coon Rapids Blvd Nw Ste 120
Coon Rapids, MN 55433-4568

Phone 763-427-9980

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-849-4559

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