Johanna Brouse, is a
Registered Nurse based in Laporte, Minnesota. Johanna Brouse is licensed to practice in Minnesota (license number R-193263-0) and her current practice location is
28803 450th St, Laporte, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 407-2376.
NPI number for Johanna Brouse is 1306387485 and her current mailing address is 28803 450th St, Laporte, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306387485.
Provider's Profile
| Full Name | Johanna Brouse |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
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| Location | 28803 450th St, Laporte, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306387485
- Provider Enumeration Date: 03/09/2017
- Last Update Date: 03/09/2017
Medical Identifiers
Medical identifiers for Johanna Brouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306387485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R-193263-0 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Brouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Johanna Brouse,
28803 450th St,
Laporte, MN 56461-4812
Ph: (218) 407-2376 | Johanna Brouse,
28803 450th St,
Laporte, MN 56461-4812
Ph: (218) 407-2376 |
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