Individual
LISA BRATSCH-MONTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R1203880
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00864
MEDICA
—
01
—
1022664
PREFERRED ONE
—
01
—
1067918
AMERICA'S PPO (ARAZ)
—
01
—
124880
UCARE
—
05
—
240596200
—
MN
01
—
28381
SIOUX VALLEY HEALTH PLAN
—
01
—
68G15CL
BCBS MN
MN
01
—
HP26547
HEALTH PARTNERS
—
Enumeration date
01/24/2006
Last updated
11/22/2010
Update your record
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