Provider Demographics
NPI:1578990354
Name:BRASSER, STEPHANIE (APNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:BRASSER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 RESEARCH PARK BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-6002
Mailing Address - Country:US
Mailing Address - Phone:608-729-6300
Mailing Address - Fax:608-729-1099
Practice Address - Street 1:5801 RESEARCH PARK BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-6002
Practice Address - Country:US
Practice Address - Phone:608-729-6300
Practice Address - Fax:608-729-1099
Is Sole Proprietor?:No
Enumeration Date:2013-10-11
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5545-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health