Individual provider · Type 1 NPI

Katherine Marie Breezley

Gerontology Nurse Practitioner · Edina, MN

NPI number 1780067033 Active

Practice location

3400 W 66th St
Edina, MN 55435-2111

Mailing address

16581 Havelock Way
Lakeville, MN 55044-6255

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XCNP 3969 (MN)
Registered Nurse 163W00000XR-203335-0 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1780067033

Katherine Marie Breezley's National Provider Identifier is 1780067033, issued on Jul 6, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Edina, MN. The record was last updated on Jul 7, 2015.