EMERALD BRIDGE WELLNESS PLLC NPI 1730993049

NPI Information

  • NPI: 1730993049
  • Provider Name: EMERALD BRIDGE WELLNESS PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 24370 REDWING AVE
    NEW PRAGUE, MN
    ZIP 56071
  • Phone: (651) 276-3708

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NPI Details

EMERALD BRIDGE WELLNESS PLLC is a psychiatric/mental health nurse practitioner in New Prague, MN. EMERALD BRIDGE WELLNESS PLLC NPI is 1730993049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24370 REDWING AVE
NEW PRAGUE, MN
ZIP 56071-843
Phone: (651) 276-3708

The provider's authorized official is Al Berry .
The authorized official title is Manager and has the following contact phone number (469) 915-4211.

The enumeration date for this NPI number is 2/5/2025 and was last updated on 3/2/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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