Individual
CHARLENE MARIE BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 538-0908
Mailing address
PO BOX 1459, MINNEAPOLIS, MN 55440-1459
(478) 538-0908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007984
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0277902
L&I
WA
05
—
1057235
—
WA
Enumeration date
02/19/2008
Last updated
06/19/2020
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