IndividualActive
Brian Imdieke, CNP
NPI 1164764064 · Adult Health Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1164764064
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- No
- License
- R 157007-6 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-4401
Approximate (ZIP-level) locationGet directions
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Registry dates
- Enumerated
- 2013-03-19
- Last updated
- 2013-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.