Female

Briana Russell

Physician Assistant in Shakopee, MN(View on Map)

Full Name

Briana Russell

NPI Number

1487411757

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/04/2024

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

14809

Contact
Information

Purpose

Mailing
Location

Address

13167 22ND ST N
4201 DEAN LAKES BLVD STE 120

City

Stillwater
Shakopee

State

MN
MN

Postal Code

55082-2529
55379-2850

Country

US
US

Telephone Number

(651) 528-2885
(952) 496-6700

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/04/2024

Provider Address

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