Organization Active NPI

DRN Health and Wellness

  • Physician Assistant
  • St Louis Park, MN
National Provider Identifier
1649155094
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
DRN HEALTH AND WELLNESS
Practice address
4725 Excelsior Blvd Ste 200
St Louis Park, MN 55416-3045
Phone
(612) 236-7034
NPI assigned
Aug 6, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Ryan Nguyen, PA
Title
Owner
Phone
(612) 236-7034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

4725 Excelsior Blvd Ste 200
St Louis Park, MN 55416-3045

Mailing address

4725 Excelsior Blvd Ste 200
St Louis Park, MN 55416-3045

Other names 1

  • Aesthetica Skin Health and Wellness Clinic, LLC Other name

National Provider Directory

National Provider Directory

Locations

4725 Excelsior Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 236-7034

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1649155094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 EXCELSIOR BLVD STE 200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 EXCELSIOR BLVD STE 200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163045",
            "telephone_number": "612-236-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRN HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-236-7034",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetica Skin Health and Wellness Clinic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.