Provider Demographics
NPI:1881207371
Name:BRIMER, ASHLEY MAE (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MAE
Last Name:BRIMER
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22013 COUNTY ROAD 10
Mailing Address - Street 2:
Mailing Address - City:BARRETT
Mailing Address - State:MN
Mailing Address - Zip Code:56311-1131
Mailing Address - Country:US
Mailing Address - Phone:320-335-1709
Mailing Address - Fax:320-227-4440
Practice Address - Street 1:621 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-1815
Practice Address - Country:US
Practice Address - Phone:320-335-1709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN449367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty