Healthcare Provider Details

I. General information

NPI: 1417831322
Provider Name (Legal Business Name): BRIANNA QUAST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 1ST ST
DULUTH MN
55805-1901
US

IV. Provider business mailing address

420 E 1ST ST
DULUTH MN
55805-1901
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-3800
  • Fax: 218-722-0171
Mailing address:
  • Phone: 218-786-3800
  • Fax: 218-722-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number235878-9
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number235878-9
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number235878-9
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: