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Individual

MRS. BREANNA LYNN PAULSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP

Contact information

Practice address
2400 ST FRANCIS DR, BRECKENRIDGE, MN 56520-1025
(218) 643-0405
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-6600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4117
MN
363LF0000X
Family Nurse Practitioner
R33651
ND

Other

Enumeration date
07/05/2013
Last updated
01/10/2019
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