Individual
LORI ANN BRATETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
909 W 21ST ST, SOUTH SIOUX CITY, NE 68776-2652
(402) 412-4600
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(877) 795-8039
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
113738
NE
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
G178996
IA
Other
Enumeration date
08/10/2021
Last updated
08/09/2024
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