Individual
JACQUE THERESE BRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 495-6600
(952) 883-9677
Mailing address
PO BOX 1309, MINNEAPOLIS, MN 55440-1309
(651) 495-6600
(952) 883-9677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP5173
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP5173
MN
Other
Enumeration date
06/05/2017
Last updated
02/20/2020
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