Healthcare Provider Details

I. General information

NPI: 1750067690
Provider Name (Legal Business Name): BRIANNA YOLANDA KUZNIA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 PARKWAY CIR STE 300
BROOKLYN CENTER MN
55430-2849
US

IV. Provider business mailing address

1160 CUSHING CIR APT 202
SAINT PAUL MN
55108-5010
US

V. Phone/Fax

Practice location:
  • Phone: 952-767-4200
  • Fax:
Mailing address:
  • Phone: 651-230-9309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: