Individual provider · Type 1 NPI

Brian Moen

Licensed Practical Nurse · Minneapolis, MN

NPI number 1013553965 Active

Practice location

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

Mailing address

10056 Oxborough Rd
Bloomington, MN 55437-2351

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X75636-7 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013553965

Brian Moen's National Provider Identifier is 1013553965, issued on Nov 25, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 25, 2019.