Provider Demographics
NPI:1255434874
Name:BROWNSHIELD, LORI A (APRN BC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:BROWNSHIELD
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 S TOWER RD
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-5505
Mailing Address - Country:US
Mailing Address - Phone:218-736-6987
Mailing Address - Fax:218-736-0734
Practice Address - Street 1:1501 42ND ST STE 575
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1060
Practice Address - Country:US
Practice Address - Phone:855-270-3625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA142161363L00000X
MN1665017363LF0000X, 364SP0808X
NDR25486363LF0000X, 364SP0808X
MNR166501-7363LP0808X
WI5450-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA5203747OtherCONTROLLED SUBSTANCES ACT
NDMB4706771OtherDEA
WIMB5246687OtherDEA
MNMB4457405OtherDEA
IAMB1839781OtherDEA