Individual
NISSA K BREKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
Mailing address
2225 E EVESHAM RD STE 101, VOORHEES, NJ 08043-1557
(856) 325-3737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
80455
MN
207V00000X
Obstetrics & Gynecology Physician
P22-00457
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
08/12/2025
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