Individual
MEGAN KELSI-MAHER BRASSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 UNIVERSITY BLVD, LA GRANDE, OR 97850-2807
(541) 962-3524
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 962-3524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201601836NP-PP
OR
Other
Enumeration date
03/26/2016
Last updated
11/19/2020
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