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Breanna Marie Opdahl, NP

Nurse Practitioner, Adult Health in Minneapolis, MN. Individual provider (NPI-1).

NPI number1164098521
StatusActive
Last updated in NPPESOct 15, 2021

Details

NPI
1164098521
Entity type
Individual (NPI-1)
Name
Breanna Marie Opdahl
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
May 27, 2021
Certification date
Oct 15, 2021
Last updated
Oct 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health8080MNYes
363L00000X Nurse Practitioner8080MN

Other names

  • Breanna Marie Flicek (Former Name)

Practice location

800 E 28th St
Minneapolis, MN 55407-3723

Phone 612-863-7553

Mailing address

800 E 28th St
Minneapolis, MN 55407-3723

Phone 612-863-0200 · Fax 612-262-0235

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