| NPI | 1043583032 |
|---|---|
| Former Name | STACY ANN BREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134115) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 092194-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231390) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012967) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F343784-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12417) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 34470) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA APRN10000872) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04048) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2026-02-09 |