Provider Demographics
NPI:1265267082
Name:BRIESCHKE, JULIE JOCELYN ANNE (DOULA)
Entity type:Individual
Prefix:
First Name:JULIE JOCELYN
Middle Name:ANNE
Last Name:BRIESCHKE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1616
Mailing Address - Country:US
Mailing Address - Phone:612-708-3654
Mailing Address - Fax:
Practice Address - Street 1:1001 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1616
Practice Address - Country:US
Practice Address - Phone:612-708-3654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula