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Individual

ALICE MARIE BRILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN MA CNP

Contact information

Practice address
2260 135TH AVE NW, ANDOVER, MN 55304-3978
(763) 862-3621
Mailing address
800 E 28TH ST, VIRGINIA PIPER CANCER INSTITUTE, MINNEAPOLIS, MN 55407-3723
(612) 863-5364

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
R-164198-9
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
2008004346
MN

Other

Enumeration date
05/21/2008
Last updated
08/19/2008
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