Healthcare Provider Details

I. General information

NPI: 1265620389
Provider Name (Legal Business Name): PATRICIA KAREN BRUNS MSN, APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 28TH ST
MINNEAPOLIS MN
55407
US

IV. Provider business mailing address

3400 W 66TH ST SUITE 150
EDINA MN
55435-2109
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-3732
  • Fax:
Mailing address:
  • Phone: 952-920-7200
  • Fax: 763-302-4234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License NumberR119578-1
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberR119578-1
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number0386286
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: