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MRS. KHADIJAH DESIREE BRUNNER
NPI 1174282743
Technician, Other in White Bear Lake, MN

Active since December 10, 2021
1011 MEADOWLANDS DR, WHITE BEAR LAKE, MN 55127(612) 315-1976 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Khadijah Desiree Brunner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KHADIJAH DESIREE BRUNNER (NPI 1174282743) is an individual technician, other provider in White Bear Lake, Minnesota and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1174282743
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameMRS. KHADIJAH DESIREE BRUNNER
Location Address1011 MEADOWLANDS DRWhite Bear Lake, MN 55127-2339
Mailing Address1008 Lawson Ave ESaint Paul, MN 55106-3328 · (651) 508-3555
Phone(612) 315-1976
Sole ProprietorNo
Enumeration DateDecember 10, 2021
Last NPPES UpdateDecember 12, 2021
NPPES CertifiedDecember 12, 2021
✔ NPI 1174282743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1011 MEADOWLANDS DR, White Bear Lake, MN 55127
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON MARI ACKERKNECHT
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 315-1976
MR. CORY MICHAEL LEEGARD
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 315-1976
AUDREY ELIZABETH DUFRESNE
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 315-1976
RACHEL ANN DWYER
Behavior Analyst
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 315-1976
EMILY SATHER
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 315-1976
JAMI LEE KRAMB WILES
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 445-0300
MAURA ROXANNE SALCHOW BA
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 315-1976
JACOB PATRICK SWALLEN
Behavior Technician
1011 MEADOWLANDS DR
WHITE BEAR LAKE, MN 55127
Ramsey County (612) 445-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khadijah Brunner's NPI number?

The NPI number for Khadijah Brunner is 1174282743. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Khadijah Brunner located?

Khadijah Brunner practices at 1011 Meadowlands Dr, White Bear Lake, MN 55127. The listed phone number is (612) 315-1976.

What is Khadijah Brunner's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Khadijah Brunner was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.