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Individual

BRIAN CHARLES NYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 450-2500

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124031
MN

Other

Enumeration date
02/14/2020
Last updated
02/14/2020
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