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1669355442 NPI number — BRIANA M NELSON DPT

NPI Number: 1669355442
Health Care Provider/Practitioner: BRIANA M NELSON DPT

Information about “1669355442” NPI (BRIANA M NELSON DPT) exists in 1669355442 in HTML format HTML  |  1669355442 in plain Text format TXT  |  1669355442 in PDF (Portable Document Format) PDF  |  1669355442 in an XML format XML  formats.

NPI Number : 1669355442 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669355442",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "BRIANA",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3500 AMERICAN BLVD W STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLOOMINGTON",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55431-4442",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-512-5600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1398 LAKE ST S STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FOREST LAKE",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55025-2720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-275-2700",
    "PracticeLocationAddressFaxNumber": "651-309-0000",
    "EnumerationDate": "07/29/2025",
    "LastUpdateDate": "07/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "14025",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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