Individual
MS. HEATHER R BRAZZLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4101 ANDERSON AVE, MANHATTAN, KS 66503-7588
(785) 587-4101
(785) 587-9090
Mailing address
4101 ANDERSON AVE, MANHATTAN, KS 66503-7588
(785) 587-4101
(785) 587-9090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500732
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100369620C
—
KS
Enumeration date
05/23/2006
Last updated
11/25/2025
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