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Individual

MS. STACY ANNE BRISCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., R.D.

Contact information

Practice address
75 PRINGLE WAY STE 505, RENO, NV 89502-1469
(775) 982-5262
Mailing address
1155 MILL ST # MS 14, RENO, NV 89502-1576
(775) 982-5262

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
40576-DI-1
NV
133V00000X
Registered Dietitian
979831
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004716904
NV
05
250040163
NV
Enumeration date
02/04/2010
Last updated
10/08/2025
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