Organization
EMERALD BRIDGE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (MANAGER)
(469) 915-4211
Entity
Organization
Contact information
Practice address
24370 REDWING AVE, NEW PRAGUE, MN 56071-8843
(651) 276-3708
Mailing address
14033 COMMERCE AVE NE STE 300-334, PRIOR LAKE, MN 55372-1438
(612) 238-8280
(612) 238-8282
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
03/02/2025
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