Individual
STEPHANIE R BRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1851 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-0060
Mailing address
4070 COLUMBIA DR, LAKE HAVASU CITY, AZ 86406-8011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-PENDING
KS
363L00000X
Nurse Practitioner
Primary
53-85810
KS
363LF0000X
Family Nurse Practitioner
260734
AZ
Other
Enumeration date
07/09/2021
Last updated
07/21/2026
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