Provider Demographics
NPI:1295618288
Name:BRASWELL, ELISE CATHERINE
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:CATHERINE
Last Name:BRASWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38414 498TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-4182
Mailing Address - Country:US
Mailing Address - Phone:507-382-4326
Mailing Address - Fax:
Practice Address - Street 1:1511 POLY DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-1796
Practice Address - Country:US
Practice Address - Phone:406-657-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program