Active NPI
DRN Health and Wellness
- Physician Assistant
- St Louis Park, MN
National Provider Identifier
1649155094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.