Elizabeth Jolie Brassfield
Family Medicine in Longview, WA. Individual provider (NPI-1).
NPI number1548046196
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1548046196
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Jolie Brassfield
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2023
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | RN60814206 | WA | Yes |
Practice location
1146 Commerce AveLongview, WA 98632-3025
Phone 360-425-7712
Mailing address
2803 Fir StLongview, WA 98632-2024
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