| NPI | 1881477222 |
|---|---|
| Former Name | STEPHANIE A BRICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 34363) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-06-18 |