Ms. Bonnie Bryde Malmberg
Nurse Practitioner - Neonatal (Critical Care)
3300 Oakdale Ave N
Robbinsdale
, Minnesota 55422-2926
Ms. Bonnie Bryde Malmberg
Nurse Practitioner - Neonatal (Critical Care)
3300 Oakdale Ave N
Robbinsdale
, Minnesota 55422-2926
(612) 600-6665
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Ms. Bonnie Bryde Malmberg
- 1801 2nd St N
- Stillwater, MN
- Zip : 55082-4255
- Phone : (612) 600-6665
Second Address
- Ms. Bonnie Bryde Malmberg
- 3300 Oakdale Ave N
- Robbinsdale, MN
- Zip : 55422-2926
- Phone : (763) 520-5580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 192891-6 | MN |
National Provider Identifier
| NPI | 1053620849 |
|---|---|
| Provider Name | Ms. Bonnie Bryde Malmberg |
| First Address | Stillwater, MN 55082-4255 |
| Second Address | Robbinsdale, MN 55422-2926 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2010 |
| Last Update Date | 28/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.