Provider Demographics
NPI:1033564331
Name:ROZIER, SANDRA (APRN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ROZIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 E 1ST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2215
Mailing Address - Country:US
Mailing Address - Phone:218-249-7949
Mailing Address - Fax:
Practice Address - Street 1:920 E 1ST ST STE 201
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2215
Practice Address - Country:US
Practice Address - Phone:218-249-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16715-33363L00000X
MN2520909363L00000X
FLAPRN9465697363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNL395OtherFL MEDICARE
FL109710700Medicaid