| NPI | 1205408242 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2021-07-09 |
| Last Updated | 2021-07-09 |
| Mailing Address | 4070 Columbia Dr Lake Havasu City, AZ 86406-8011 United States 📍 View Map |
| Primary Practice Address | 1851 Mesquite Ave Lake Havasu City, AZ 86403-5677 United States Phone: (928) 854-0060 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | AZ | 260734 |
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About NPI 1205408242
Stephanie R Brison APRN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205408242. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Lake Havasu City, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-07-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205408242?
NPI 1205408242 belongs to Stephanie R Brison APRN, a Nurse Practitioner, Family in Lake Havasu City, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205408242 active?
The current status of NPI 1205408242 in the NPPES registry is Active. The record was last updated on 2021-07-09.
What specialty is NPI 1205408242?
NPI 1205408242 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205408242?
You can verify NPI 1205408242 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205408242?
The primary practice address on file for NPI 1205408242 is 1851 Mesquite Ave, Lake Havasu City, AZ 86403-5677. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205408242 issued?
NPI 1205408242 was first issued (enumerated) on 2021-07-09. The NPPES record was last updated on 2021-07-09.
Practice Location Map
Stephanie R Brison is located at 1851 Mesquite Ave, Lake Havasu City, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stephanie R Brison. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205408242. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | 260734 | AZ |