Audra Brown
Technician, Personal Care Attendant in Wayzata, MN. Individual provider (NPI-1).
NPI number1750866331
StatusActive
Last updated in NPPESSep 28, 2018
Details
- NPI
- 1750866331
- Entity type
- Individual (NPI-1)
- Name
- Audra Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2018
- Last updated
- Sep 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 1093903502 | MN | Yes |
Practice location
801 Twelve Oaks Center Dr Ste 822Wayzata, MN 55391-4645
Phone 952-456-6561 · Fax 952-456-6561
Mailing address
801 Twelve Oaks Center Dr Ste 822Wayzata, MN 55391-4645
Phone 952-456-6561 · Fax 952-456-6561
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