Provider Demographics
NPI:1538329263
Name:BROWN-NYSETH, VICTORIA LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LOUISE
Last Name:BROWN-NYSETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:LOUISE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7755 3RD ST N STE 300
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5461
Mailing Address - Country:US
Mailing Address - Phone:651-783-5410
Mailing Address - Fax:651-789-0563
Practice Address - Street 1:7755 3RD ST N STE 300
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128
Practice Address - Country:US
Practice Address - Phone:651-783-5410
Practice Address - Fax:651-789-0563
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN540552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry