STACEY BRAKE

AURORA, CO
NPI1336716299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CO  0996402)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: CO  0996402)
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
STACEY BRAKE NP
7999 S FULTONDALE WAY
AURORA, CO 80016-4442
Phone number: 303-512-3690
Mailing Address
STACEY BRAKE NP
7999 S FULTONDALE WAY
AURORA, CO 80016-4442
Phone number: 303-512-3690