Individual
BRIAN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(916) 223-6506
Mailing address
3911 LIGHTHOUSE LN, LAKELAND, TN 38002-8164
(916) 223-6506
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144101
TN
Other
Enumeration date
06/21/2023
Last updated
06/22/2023
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