Individual
STACY ANNE BRUEY
Active
Individual
STACY ANNE BRUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
265588
TN
163W00000X
Registered Nurse
RN446844
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
32326
TN
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0029359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q078565
—
TN
Enumeration date
08/03/2021
Last updated
04/27/2023
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