Provider Demographics
NPI:1285498154
Name:ALEXANDER-MASON, BRIANNA FAE
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:FAE
Last Name:ALEXANDER-MASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 ALDRICH AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2152
Mailing Address - Country:US
Mailing Address - Phone:612-412-5502
Mailing Address - Fax:
Practice Address - Street 1:3815 ALDRICH AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2152
Practice Address - Country:US
Practice Address - Phone:612-412-5502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula