Individual
NATALIE BRANDSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18205 45TH AVE N STE C, PLYMOUTH, MN 55446-4594
(763) 400-7828
Mailing address
11110 86TH AVE N, MAPLE GROVE, MN 55369-4529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5954
MN
Other
Enumeration date
07/24/2018
Last updated
02/25/2020
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