Individual
ROBIN LEE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3925
(218) 722-4302
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3925
(218) 722-4302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R128586-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689988461
—
MI
05
—
1689988461
—
MN
05
—
1689988461
—
WI
Enumeration date
08/03/2010
Last updated
12/19/2011
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