MRS. JENNIFER E BRUYERE BA AAS RT(R)(M) NPI 1033453303

NPI Information

NPI: 1033453303
Provider Name: MRS. JENNIFER E BRUYERE, BA, AAS, RT(R)(M)
Classification: Radiologic Technologist - 247100000X
Entity Type: Individual
Address:
4235 32ND AVE S
MINNEAPOLIS, MN
ZIP 55406
Phone: (612) 729-2205
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MRS. Jennifer E Bruyere, BA, AAS, RT(R)(M) is a radiologic technologist in Minneapolis, MN. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. MRS. Jennifer E Bruyere, BA, AAS, RT(R)(M) NPI is 1033453303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4235 32ND AVE S
MINNEAPOLIS, MN
ZIP 55406-315
Phone: (612) 729-2205

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471M2300X	Radiologic Technologist	Mammography	373912	MINNESOTA	No
2	247100000X	Radiologic Technologist		373912	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500506806	OTHER	ILLINOIS	IEMA DIVISION OF NUCLEAR SAFETY
2	373912	OTHER	MINNESOTA	AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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