NPI 1912366907 · live from the CMS NPI Registry
Diana Jean Martens Brown, APRN, MSN, CPNP-PC
Nurse Practitioner, Pediatrics, Critical Care in Minneapolis, MN. National Provider Identifier 1912366907, active.
NPI record
| NPI | 1912366907 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics, Critical Care 363LP0222X |
| Practice location | 2450 Riverside Ave, Minneapolis, MN 55454 |
| Practice phone | 612-365-3000 |
| Mailing address | 1537 Pond Curv, Waconia, MN 55387 |
| Enumerated | February 18, 2016 |
| Last updated | February 18, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 169516-8 (MN) |
| Nurse Practitioner, Pediatrics, Critical Care primary | 363LP0222X | 169516-8 (MN) |
| Nurse Practitioner, Primary Care | 363LP2300X | 169516-8 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.