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General NPI Number Information
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NPI Number | 1881320554
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Entity Type | Individual
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Provider Name | BRILES CHRISTENSON
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Gender | Male
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 320 W WALNUT ST.
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City | OGDEN
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State | IA
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Zip | 50212-3060
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Country | US
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Telephone | 515-275-2417
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Fax | 515-275-4678
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Provider Business Mailing Address
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Address Line | 1015 UNION STREET
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City | BOONE
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State | IA
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Zip | 50036-4821
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Country | US
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Telephone | 515-368-7504
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Fax | 515-355-3491
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 126965
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License Number State | IA
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