NPI 1013553965

Brian Moen

Practitioner Licensed Practical Nurse Minneapolis, MN

Practice location

Address: 433 S 7th St APT 1923, Minneapolis, MN 55415-1642
Phone: (612) 305-0972
Mailing address: 10056 Oxborough Rd, Bloomington, MN 55437-2351

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 75636-7 (MN)

Other Licensed Practical Nurse providers in Minnesota →

Registry record

NPI: 1013553965
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2019
Record last updated: 25 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.