Individual
BROOKE ELIZABETH KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC,AGNP-C
Contact information
Practice address
14800 GALAXIE AVE STE 305, APPLE VALLEY, MN 55124-4530
(952) 432-1484
(952) 432-2328
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 199769-1
MN
363LA2200X
Adult Health Nurse Practitioner
4378
MN
363LG0600X
Gerontology Nurse Practitioner
4378
MN
363LG0600X
Gerontology Nurse Practitioner
CNP 4378
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4378
MN
Other
Enumeration date
01/21/2016
Last updated
11/05/2024
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