Individual
KIMBERLY CROCKETT BRASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
35998 ZION CHURCH RD UNIT 1, FRANKFORD, DE 19945-4501
(302) 278-0093
(302) 278-0096
Mailing address
31707 BRASURE RD, DAGSBORO, DE 19939-4172
(302) 278-0093
(302) 278-0096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0001010
DE
Other
Enumeration date
02/01/2017
Last updated
09/30/2020
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