| NPI | 1386004877 |
|---|---|
| Former Name | STACEY R BRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10000494) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017403) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221433) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016003734) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2024-03-14 |