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NPI Code Detail

MEDICARE: BRENNA CHRISTIE FNP-C, PMHNP-BC

MEDICARE: BRENNA CHRISTIE FNP-C, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner9778MN
2363LF0000XFamily Nurse PractitionerAPN.0995767-NPCO
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0995767-NPCO
4363LP0808XPsychiatric/Mental Health Nurse Practitioner9778MN

General Provider Information

NPI Number : 1043821903
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA CHRISTIE FNP-C, PMHNP-BC
Provider Business Mailing Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : EDINA
State : MN
Zip : 55439-1353
Country : US
Telephone Number : 952-592-5421
Fax Number : 952-209-6329
Provider Business Practice Location Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : EDINA
State : MN
Zip : 55439-1353
Country : US
Telephone Number : 952-592-5421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 05/13/2025

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Directions to “ BRENNA CHRISTIE FNP-C, PMHNP-BC” Practice Location

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