Individual
BREANNA KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10364
MN
363LF0000X
Family Nurse Practitioner
10364
MN
Other
Enumeration date
07/06/2023
Last updated
09/19/2023
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