BRENDA RENEE BAKKEN
NPI 1023510591
Licensed Practical Nurse in Buffalo, MN

Active since March 01, 2018
25 1ST AVE NE SUITE 100, BUFFALO, MN 55313(763) 682-3005(763) 682-3006 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About BRENDA BAKKEN

This page provides the complete NPI Profile along with additional information for Brenda Bakken, a provider established in Buffalo, Minnesota with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1023510591 assigned on March 2018. The practitioner's primary taxonomy code is 164W00000X with license number L567608 (MN). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1023510591 Verify this NPI
Provider Name
BRENDA RENEE BAKKEN
Gender
Female
Entity Type
Individual
Location Address
25 1ST AVE NE SUITE 100 BUFFALO, MN 55313
Location Phone
(763) 682-3005
Location Fax
(763) 682-3006
Mailing Address
25 1ST AVE NE SUITE 100 BUFFALO, MN 55313
Mailing Phone
(763) 682-3005
Mailing Fax
(763) 682-3006
Is Sole Proprietor?
No
Enumeration Date
03-01-2018
Last Update Date
03-01-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
L567608
License State
MN
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023510591, enumerated as an "individual" on March 01, 2018.

The provider is located at 25 1ST AVE NE SUITE 100 BUFFALO, MN 55313 and the phone number is (763) 682-3005.

Licensed Practical Nurse with taxonomy code 164W00000X.