DR. AUDREY JEAN BRASEL (NPI# 1952884041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952884041 |
Entity Type | Individual |
Full Name | DR. AUDREY JEAN BRASEL |
Credential | DNP,FNP-C |
Practice Address |
600 Main Ave S Baudette MN 56623-2855 |
Practice Telephone | 2186341655 |
Mailing Telephone | 2186341655 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
6181 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
600 MAIN AVE S |
City | BAUDETTE |
State | MN |
Zip Code | 56623-2855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730178617 | Christopher Kelley Mcgraw | Neuromusculoskeletal Medicine & OMM | 600 Main Ave S, Baudette, MN 56623-2855 | 2005-10-14 |
1265066245 | Ashley Malchow | Registered Nurse | 600 Main Ave S, Baudette, MN 56623-2855 | 2020-02-27 |
1093288789 | Muhammad Arshad Bhalli | Physician Assistant | 600 Main Ave S, Baudette, MN 56623-2855 | 2019-01-06 |
1013452333 | Michelle A Brown | Nurse Practitioner | 600 Main Ave S, Baudette, MN 56623-2855 | 2016-12-21 |
1548524648 | Lakewood Health Center | Assisted Living Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2012-07-03 |
1285947556 | Justin Quo | Family Medicine | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-07-15 |
1174840672 | Gabriel Dan Mooney | Dietitian, Registered | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-04-23 |
1659511335 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-02-20 |
1972740488 | Saravana K Balaraman | Family Medicine | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-01-21 |
1972799237 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2007-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346380680 | Lake of The Woods County Social Services | Public Health or Welfare | 206 8th Ave. Se, Suite 200, Baudette, MN 56623 | 2007-02-07 |
1225183981 | Cja Consulting, Inc. | Psychologist | 106 8th Ave Se, Suite 200, Baudette, MN 56623 | 2007-01-24 |
1164504049 | Independent School District No 390 | Local Education Agency (LEA) | 236 15th Ave Sw, Baudette, MN 56623 | 2006-10-19 |
1811993421 | Constance Anderson Aagard | Psychologist | 106 8th Ave. Se, Baudette, MN 56623 | 2005-06-28 |
1730184797 | David Clark Wohlrabe | Dentist | 406 Main St. Nw, Baudette, MN 56623-0546 | 2005-06-16 |
1568591097 | Davy L Nesmoe | Chiropractor | 204 Main Ave North, Baudette, MN 56623-1039 | 2007-03-02 |
1447255385 | Smn Inc | Pharmacy | 111 N Main Ave, Baudette, MN 56623-2466 | 2005-06-16 |
1639782311 | Brennin Kyle O'brien | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2020-08-24 |
1477053577 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 111 N Main Ave, Baudette, MN 56623-2466 | 2018-02-15 |
1598947533 | Stuart Michael Noble | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2007-12-01 |
Find all providers in zip 56623 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1144862996 | Alade Lateef Hamza | Nurse Practitioner | 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443-1816 | 2019-10-14 |
1114584869 | Tenzin Lhamo | Nurse Practitioner | 195 Windsor Ln, New Brighton, MN 55112-3366 | 2019-05-28 |
1255834859 | Ashley M Morehouse | Nurse Practitioner | 625 S 4th St Ste A, Le Sueur, MN 56058-2203 | 2018-03-10 |
1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
1245615194 | Jennifer Nelson | Nurse Practitioner | 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 | 2015-07-21 |
1912397142 | Solomon Africanus Wesseh Jr. | Nurse Practitioner | 10135 43rd Ct Ne, Saint Michael, MN 55376-3015 | 2015-01-26 |
1780084004 | Angela Rae Fox | Nurse Practitioner | 7383 Upper 157th St W, Apple Valley, MN 55124-5108 | 2014-08-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.