Individual
BRIAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9298 CENTRAL AVE NE STE 202, BLAINE, MN 55434-4217
(763) 205-4440
(763) 205-4403
Mailing address
9298 CENTRAL AVE NE STE 202, BLAINE, MN 55434-4217
(763) 205-4440
(763) 205-4403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
387743
MN
372600000X
Adult Companion
387743
MN
3747P1801X
Personal Care Attendant
387743
MN
374U00000X
Home Health Aide
387743
MN
374U00000X
Home Health Aide
Primary
394396
MN
376J00000X
Homemaker
387743
MN
376K00000X
Nurse's Aide
387743
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397396
MN DEPARTMENT OF HEALTH LICENSE
MN
Enumeration date
11/21/2018
Last updated
03/31/2021
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