Doctor Name: | KRYSTINE KAY BRASHEAR |
NPI Number: | 1043389877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | F-092003 |
Business Practice Address: | 619 2nd Ave N Estherville, IA - 513341942 |
Business Phone Number: | 7123622404 |
Business Fax Number: | |
Mailing Address: | 1825 382nd Ave, ESTHERVILLE |
State: | IA |
Postal Code: | 513347506 |
Phone Number: | 7123628925 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | F-092003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |