Individual provider · NPI-1

Brenna Licheng Bartels, PA-C

Physician Assistant · Robbinsdale, MN

NPI number1174447635
StatusActive
Last updated in NPPESOct 5, 2026

Details

NPI
1174447635
Entity type
Individual (NPI-1)
Name
Brenna Licheng Bartels
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Aug 7, 2026
Certification date
Oct 5, 2026
Last updated
Oct 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Phone 763-520-5200

Mailing address

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435

Phone 952-767-4574

Other practice locations

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435

Phone 952-767-4574

9875 Hospital Dr
Maple Grove, MN 55369-4648

Phone 763-581-1000

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