Individual provider · Type 1 NPI
Brian Holm Imdieke, CNP
Adult Health Nurse Practitioner · Minneapolis, MN
NPI number
1164764064
Active
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R 157007-6 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1164764064
Brian Holm Imdieke, CNP's National Provider Identifier is 1164764064, issued on Mar 19, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 19, 2013.