BRENDA SIMASIKU RUSS NPI 1902579626

NPI Information

  • NPI: 1902579626
  • Provider Name: BRENDA SIMASIKU RUSS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2105 W 143RD ST # 2ND
    BURNSVILLE, MN
    ZIP 55306
  • Phone: (952) 303-6832

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NPI Details

Brenda Simasiku Russ is a psychiatric/mental health nurse practitioner in Burnsville, MN. Brenda Simasiku Russ NPI is 1902579626. 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:

2105 W 143RD ST # 2ND
BURNSVILLE, MN
ZIP 55306-000
Phone: (952) 303-6832

The enumeration date for this NPI number is 7/28/2021 and was last updated on 9/24/2021.

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 Health8307MINNESOTAYes

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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