Healthcare Provider Details

I. General information

NPI: 1952342537
Provider Name (Legal Business Name): TRISHA JANE BJORNEBY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRICIA WARD FNP

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 PRAIRIE CENTER DR STE 400
EDEN PRAIRIE MN
55344-7322
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 952-428-0300
  • Fax:
Mailing address:
  • Phone: 612-262-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2646
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: