Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | F-092003 | IA |
NPI | 1043389877 |
---|---|
Provider Name | Krystine Kay Brashear |
First Address | Estherville, IA 51334-7506 |
Second Address | Estherville, IA 51334-1942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 29/01/2014 |