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Contact Information

BRADLEY A HISE, FNP
7701 YORK AVE S STE 180
EDINA, MN55435-5845
 Phone: 952-927-5316
 Fax: 952-927-6309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BRADLEY A HISE · (Male)

NPI Number 1841964178
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/02/2021
Last updated 09/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2097914
  • MN License # 8362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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