Individual
BRENDA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
261QM0801X
OK
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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