ANGELA EMILY BRODINE


Address: 5301 Hyland Greens Dr Apt 702, Bloomington, MN 55437-3909
Phone: 6122311197

ANGELA EMILY BRODINE (NPI# 1265075162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265075162
Entity Type Individual
Full Name ANGELA EMILY BRODINE
Credential MS
Practice Address 5301 Hyland Greens Dr Apt 702
Bloomington
MN 55437-3909
Practice Telephone 6122311197
Mailing Telephone 6122311197
Enumeration Date 2019-10-23
Last Update Date 2019-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 5301 HYLAND GREENS DR APT 702
City BLOOMINGTON
State MN
Zip Code 55437-3909

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City BLOOMINGTON
Zip Code 55437

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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