Provider Demographics
NPI:1952884041
Name:BRASEL, AUDREY JEAN (DNP,FNP-C)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:JEAN
Last Name:BRASEL
Suffix:
Gender:F
Credentials:DNP,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 1ST ST E
Mailing Address - Street 2:
Mailing Address - City:PARK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56470-1879
Mailing Address - Country:US
Mailing Address - Phone:218-732-6300
Mailing Address - Fax:
Practice Address - Street 1:1103 1ST ST E
Practice Address - Street 2:
Practice Address - City:PARK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56470-1879
Practice Address - Country:US
Practice Address - Phone:218-732-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily