Provider Demographics
NPI:1386959732
Name:BRIMEYER, ELIZABETH JEAN (MSN PMHNP-BC FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JEAN
Last Name:BRIMEYER
Suffix:
Gender:F
Credentials:MSN PMHNP-BC FNP-BC
Other - Prefix:MRS
Other - First Name:BETTY
Other - Middle Name:JEAN
Other - Last Name:BRIMEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN PMHNP-BC FNP-BC
Mailing Address - Street 1:4170 PENNSYLVANIA AVENUE, SUITE 1
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002
Mailing Address - Country:US
Mailing Address - Phone:563-557-2977
Mailing Address - Fax:563-557-2976
Practice Address - Street 1:4170 PENNSYLVANIA AVE STE 1
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2645
Practice Address - Country:US
Practice Address - Phone:563-557-2977
Practice Address - Fax:563-557-2976
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076426163W00000X
IAA-076426363L00000X
IAG-076426363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner