EMILY SAMBORN (NPI# 1942664024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942664024 |
| Entity Type | Individual |
| Full Name | EMILY SAMBORN |
| Credential | NP |
| Practice Address |
5525 Cedar Lake Rd S St Louis Park MN 55416-1420 |
| Mailing Address |
Po Box 686 Chanhassen MN 55317-0686 |
| Practice Telephone | 9525417157 |
| Practice Fax Number | 9525440587 |
| Mailing Telephone | 9525417157 |
| Mailing Fax Number | 9525440587 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
CNP4458 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5525 CEDAR LAKE RD S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471666 | Jennifer L Mears | Nurse Practitioner | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2006-01-11 |
| 1629683180 | Nathaniel Arthur Murray | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2020-09-11 |
| 1144790866 | Ashley Marie Overby | Physician Assistant | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2018-11-26 |
| 1669851986 | Thomas Klusmann | Physical Therapy Assistant | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2015-05-19 |
| 1922416064 | Lifeclinic Pa | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2014-07-31 |
| 1790195774 | Nicholas Novakoski | Student in an Organized Health Care Education/Training Program | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2014-04-30 |
| 1356751523 | Lifeclinic Rehabilitation and Chiropractic | Chiropractor | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2014-04-28 |
| 1942546692 | Life Clinic Medical, Pa | Internal Medicine | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2012-12-28 |
| 1659666931 | Josiah Lee Thunshelle | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2011-06-14 |
| 1023296167 | Life Clinic, P.a. | Physical Therapist | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659587 | Debra Ann Rustad | Nurse Practitioner | 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 | 2005-06-15 |
| 1962818021 | Sara Gauquie | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2014-07-09 |
| 1801176078 | Marijane Schroeder Hauer | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2011-08-19 |
| 1568777274 | Elizabeth Abell | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426 | 2010-08-18 |
| 1730342072 | Nicole M Larson | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2008-07-08 |
| 1932275880 | Jody Lynn Juntunen | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2006-11-24 |
| 1285611772 | Christa G Beach | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-27 |
| 1952388779 | Sherry Wenisch | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-22 |
| 1346226099 | Pamela J Garrison | Nurse Practitioner | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-15 |
| 1699750141 | Diane P Dunn | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-07 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on EMILY SAMBORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.