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Brenda Simasiku Russ
Psychiatric/Mental Health Nurse Practitioner in Burnsville, Minnesota
NPI 1902579626

Brenda Simasiku Russ is a Psychiatric/Mental Health Nurse Practitioner based in Champlin, MN and is specialized in Psychiatric/Mental Health. Brenda Simasiku Russ practices in Burnsville, MN. The NPI Number for Brenda Simasiku Russ is 1902579626 and holds a License No. 8307 (Minnesota).

The current practice location address for Brenda Simasiku Russ is 2105 W 143Rd St # 2Nd, Burnsville, MN and can be reached out via phone at 952-303-6832.

Location: 2105 W 143Rd St # 2Nd, Burnsville, MN, 55316-3043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902579626
Provider Name
Brenda Simasiku Russ
Credential
Provider Entity Type
Individual
Gender
Female
Address
2105 W 143Rd St # 2Nd, Burnsville, MN, 55316-3043
Phone Number
952-303-6832
Fax Number
Provider Enumeration Date
07/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2105 W 143Rd St # 2Nd
City
Burnsville
State
Minnesota
Zip
55306-8000
Phone Number
952-303-6832
Fax Number
person
Provider Business Mailing Address Details
Address
2105 W 143Rd St # 2Nd
City
Burnsville
State
Minnesota
Zip
55306-8000
Phone Number
952-303-6832
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
8307 (Minnesota)
Definition
Definition to come...
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