- Practice location
- 5200 Fairview Blvd, Wyoming, MN 55092-8013
- Phone
- 651-982-7000
- Fax
- —
- Last updated
- August 12, 2025
Nissa K Brekke is an Obstetrics & Gynecology based in Wyoming, MN. Nissa K Brekke practices in Wyoming, MN. The NPI Number for Nissa K Brekke is 1639751092 and holds a License No. P22-00457 (NJ). The current practice location address for Nissa K Brekke is 5200 Fairview Blvd, Wyoming, MN 55092-8013 and can be reached out via phone at 651-982-7000.
Provider Profile Details
- NPI Number
- 1639751092
- Provider Name
- Nissa K Brekke
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5200 Fairview Blvd, Wyoming, MN 55092-8013
- Phone Number
- 651-982-7000
- Primary Taxonomy
- Obstetrics & Gynecology · 207V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 26, 2021
- Last Update Date
- August 12, 2025
- Certification Date
- August 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - City
- Wyoming
- State
- Minnesota
- Zip
- 55092-8013
- Phone Number
- 651-982-7000
Provider Business Mailing Address Details
- Address
- 2225 E Evesham RD Ste 101
Voorhees, NJ 08043-1557 - City
- Voorhees
- State
- NJ
- Zip
- 08043-1557
- Phone Number
- 856-325-3737
License Information
- License Number (1)
- P22-00457
- License State (1)
- NJ
- Taxonomy (1)
- Obstetrics & Gynecology · 207V00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 80455
- License State (3)
- MN
- Taxonomy (3)
- Obstetrics & Gynecology · 207V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Obstetrics & Gynecology providers near Wyoming, MN
View all Obstetrics & Gynecology providers in Wyoming →Frequently Asked Questions
What is the NPI number of Nissa K Brekke?
The NPI number of Nissa K Brekke is 1639751092. It was assigned on April 26, 2021 and is currently active in the NPPES registry.
What is the specialty of Nissa K Brekke?
Nissa K Brekke is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number P22-00457.
Where does Nissa K Brekke practice?
The practice location is 5200 Fairview Blvd, Wyoming, MN 55092-8013. The office can be reached at 651-982-7000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639751092 directly on the NPPES registry website.