Individual
TAYLOR BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
2480 HIGHWAY 100 S APT 322, ST LOUIS PARK, MN 55416-3174
(320) 219-3518
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 071942-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L 071942-7
MINNESOTA STATE BOARD OF NURSING
MN
Enumeration date
10/20/2016
Last updated
10/20/2016
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