Brian Moen

Licensed Practical Nurse · Minneapolis, MN

Individual Active NPI

NPI number 1013553965

Practice location

433 S 7TH St Apt 1923
Minneapolis, MN 55415-1642
Phone
(612) 305-0972

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NPI record

NPI
1013553965
Entity type
Individual (Type 1)
Enumeration date
November 25, 2019
Last updated
November 25, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 75636-7 MN

Mailing address

10056 Oxborough Rd
Bloomington, MN 55437-2351

About Brian Moen

Brian Moen is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 433 S 7TH St Apt 1923, Minneapolis, MN 55415-1642. The NPI number 1013553965 was assigned on November 25, 2019 and the record was last updated on November 25, 2019.

Brian Moen lists a license in the registry: #75636-7 (MN) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Moen?

The NPI number is 1013553965.

What is the phone number of Brian Moen?

The phone number listed for the practice location is (612) 305-0972.

Where is Brian Moen located?

433 S 7TH St Apt 1923, Minneapolis, MN 55415-1642.

What is the taxonomy code for Brian Moen?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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