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Individual

BREANNA WEISBROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
501 STATE ST N, WASECA, MN 56093
(507) 835-1210
Mailing address
501 STATE ST N, WASECA, MN 56093-2811
(507) 835-1210

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
127626
KS
363LF0000X
Family Nurse Practitioner
1697001
MN
363LF0000X
Family Nurse Practitioner
Primary
6943
MN
364SA2200X
Adult Health Clinical Nurse Specialist
76387
KS

Other

Enumeration date
05/18/2015
Last updated
09/18/2020
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