Individual
MRS. STACY L BRAMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
608 35TH AVE, MOLINE, IL 61265-6138
(309) 277-3500
(309) 277-3050
Mailing address
545 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 762-5560
(309) 762-7351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.011830
IL
363LF0000X
Family Nurse Practitioner
209011830
IL
363LF0000X
Family Nurse Practitioner
A107683
IA
Other
Enumeration date
09/11/2014
Last updated
11/01/2016
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