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BRYAN ANTHONY WAITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-2233
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13057
MN
363LA2200X
Adult Health Nurse Practitioner
13057
MN

Other

Enumeration date
08/27/2025
Last updated
12/12/2025
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