Provider Demographics
NPI:1891538047
Name:BRASHER, MORGAN LINDSEY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LINDSEY
Last Name:BRASHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LINDSEY
Other - Last Name:FARIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63873-9132
Mailing Address - Country:US
Mailing Address - Phone:573-380-6501
Mailing Address - Fax:
Practice Address - Street 1:10 WILLOW RD
Practice Address - Street 2:
Practice Address - City:PORTAGEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63873-9132
Practice Address - Country:US
Practice Address - Phone:573-380-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024020448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily