NPI 1750866331

Audra Brown

Practitioner Personal Care Attendant Wayzata, MN

Practice location

Address: 801 Twelve Oaks Center Dr STE 822, Wayzata, MN 55391-4645
Phone: (952) 456-6561
Fax: (952) 456-6561

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 1093903502 (MN)

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Registry record

NPI: 1750866331
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2018
Record last updated: 28 Sep 2018

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.