Individual
BRENNA LEIGH RADERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGNP-C
Contact information
Practice address
500 HARVARD ST SE UNIT 7D, MINNEAPOLIS, MN 55455-0363
(612) 273-3074
Mailing address
1425 HAMPSHIRE AVE S APT 323, ST LOUIS PARK, MN 55426-2163
(507) 995-0654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2085531
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
5247
MN
Other
Enumeration date
07/10/2017
Last updated
01/03/2018
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