Healthcare Provider Details

I. General information

NPI: 1225948060
Provider Name (Legal Business Name): BRIANNE NICOLE ZIEGLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 FAIRVIEW BLVD
WYOMING MN
55092-8013
US

IV. Provider business mailing address

6337 PAINTED TURTLE RD
LINO LAKES MN
55014-1960
US

V. Phone/Fax

Practice location:
  • Phone: 651-464-4611
  • Fax:
Mailing address:
  • Phone: 651-356-2165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3403
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: