Healthcare Provider Details

I. General information

NPI: 1275464794
Provider Name (Legal Business Name): BRIANA MCCALL CRESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 OLIVER AVE S
MINNEAPOLIS MN
55405-2046
US

IV. Provider business mailing address

217 OLIVER AVE S
MINNEAPOLIS MN
55405-2046
US

V. Phone/Fax

Practice location:
  • Phone: 612-305-8172
  • Fax: 612-500-4789
Mailing address:
  • Phone: 612-305-8172
  • Fax: 612-500-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: