Individual
PATTI BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(612) 362-4111
(612) 362-4115
Mailing address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(612) 362-4111
(612) 362-4115
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R-073625-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852018600
—
MN
Enumeration date
06/09/2006
Last updated
09/07/2007
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