Individual
STEFANIA PATANIA BRUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2475 JEFFERSON TER, EAST POINT, GA 30344-2742
(585) 237-8339
Mailing address
2475 JEFFERSON TER, EAST POINT, GA 30344-2742
(585) 237-8339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN310611
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN310611
GA
Other
Enumeration date
11/29/2022
Last updated
01/10/2023
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