Individual
BRADLEY EUGENE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6200 SHINGLE CREEK PKWY, STE 250, BROOKLYN CENTER, MN 55430-2107
(763) 544-0696
(763) 544-0696
Mailing address
6200 SHINGLE CREEK PKWY, STE 250, BROOKLYN CENTER, MN 55430-2107
(763) 544-0696
(763) 544-0696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
671723
NY
363L00000X
Nurse Practitioner
Primary
8806
MN
363LG0600X
Gerontology Nurse Practitioner
F307678
NY
Other
Enumeration date
03/27/2015
Last updated
05/10/2022
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