Individual
GINGER LYNN BRASUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
1013 E 19TH ST, SCOTTSBLUFF, NE 69361-2635
(308) 635-0882
(308) 635-0883
Mailing address
1013 E 19TH ST, SCOTTSBLUFF, NE 69361-2635
(308) 635-0882
(308) 635-0883
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110486
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264472-00
—
NE
05
—
100264473-00
—
NE
Enumeration date
08/28/2006
Last updated
03/05/2015
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