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Individual

BREANNA MARIE OPDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-7553
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-0200
(612) 262-0235

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8080
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
8080
MN

Other

Enumeration date
05/27/2021
Last updated
10/15/2021
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