Individual provider · Type 1 NPI

Brenda Simasiku Russ

Psychiatric/Mental Health Nurse Practitioner · Burnsville, MN

NPI number 1902579626 Active

Practice location

2105 W 143rd St # 2nd
Burnsville, MN 55306-8000

Call (952) 303-6832 Map

Mailing address

10200 Hidden Oaks Ln N
Champlin, MN 55316-3043

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X8307 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1902579626

Brenda Simasiku Russ's National Provider Identifier is 1902579626, issued on Jul 28, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Burnsville, MN. The record was last updated on Sep 24, 2021.