Individual
BRIANNA ROSE ELSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6041 SUMMIT CT S, COTTAGE GROVE, MN 55016-4491
(612) 308-4666
Mailing address
6041 SUMMIT CT S, COTTAGE GROVE, MN 55016-4491
(612) 308-4666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 236643-8
MN
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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