Individual
STACEY L. BRUINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8300
Mailing address
997 FULLER GLEN CIR, CHATTANOOGA, TN 37421-4469
(423) 463-8767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000184197
TN
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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