Individual
MISS NICOLE BRASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1415 RIDGE ST, IOWA CITY, IA 52240-2720
(217) 370-3762
Mailing address
PO BOX 824246, PHILADELPHIA, PA 19182-4246
(850) 985-9180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
137399
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
209028100
IL
Other
Enumeration date
06/30/2014
Last updated
12/17/2025
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