NPI | 1093586166 |
---|---|
Former Name | BRIANNE STOCKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405604) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19803700) |
163W00000X Registered Nurse (Licence: NY 784677-01) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15033800) | |
Enumeration Date | 2024-01-09 |
Last Update Date | 2024-05-22 |