Individual
MRS. DIANA JEAN MARTENS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, CPNP-PC
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-3000
Mailing address
1537 POND CURV, WACONIA, MN 55387-3105
(763) 218-4746
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
169516-8
MN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
169516-8
MN
363LP2300X
Primary Care Nurse Practitioner
169516-8
MN
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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