Individual
IZILLE BRENDA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
546 E 83RD ST, BROOKLYN, NY 11236-3115
(917) 588-5927
Mailing address
546 E 83RD ST, BROOKLYN, NY 11236-3115
(917) 588-5927
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
4220673
NJ
163WM0705X
Medical-Surgical Registered Nurse
Primary
426206-1
NY
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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