Individual
BRENDA ZACHRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 77TH ST W, EDINA, MN 55435-5505
(612) 274-1515
Mailing address
4510 77TH ST W, EDINA, MN 55435-5505
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1411135
MN
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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