Lachelle Renee Brinks, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Crosby, MN

NPI 1124313259 · NPPES record last updated Jun 16, 2011

Key facts

NPI
1124313259
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R 169549-8 (MN)
Practice address
5 W Main St
Crosby, MN 56441-1421
Phone
(218) 546-7333
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 169549-8MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyuna Family Chiropractic Past Accepting new patients
Advanced Integrative Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R 169549-8 MN Yes

Addresses

Primary practice location

5 W Main St
Crosby, MN 56441-1421

Mailing address

25757 183Rd St
Pierz, MN 56364-1247
Phone (320) 630-3623

Other providers in Crosby, MN

All providers in Crosby, MN · Family Nurse Practitioner in Minnesota

Sources for this page

Verify at the official NPI Registry.