NPI 1316556921 · live from the CMS NPI Registry
Brent Robert Braswell, FNP
Nurse Practitioner, Family in Lyndonville, VT. National Provider Identifier 1316556921, active.
NPI record
| NPI | 1316556921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 195 Industrial Pkwy Ste 1, Lyndonville, VT 05851 |
| Practice phone | 802-748-9501 |
| Mailing address | Po Box 905, St Johnsbury, VT 05819 |
| Enumerated | July 29, 2020 |
| Last updated | July 29, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 1010134613 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.