Individual
DENISE L BRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
(507) 372-3806
Mailing address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
(507) 372-3806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-083572
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226423
—
IA
01
—
28510
BLUE CROSS BLUE SHIELD
IA
01
—
P00057073
RAILROAD MEDICARE
IA
Enumeration date
05/01/2006
Last updated
07/21/2022
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