Basic Information
| Provider Information | |||||||||
| NPI: | 1578616132 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRINSON | ||||||||
| FirstName: | STEPHENIE | ||||||||
| MiddleName: | VANDERMEER | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 876 TIMBER DR | ||||||||
| Address2: | |||||||||
| City: | GARNER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275294850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198032285 | ||||||||
| FaxNumber: | 9198032318 | ||||||||
| Practice Location | |||||||||
| Address1: | 876 TIMBER DR | ||||||||
| Address2: | |||||||||
| City: | GARNER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275294850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198032285 | ||||||||
| FaxNumber: | 9198032318 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2007 | ||||||||
| LastUpdateDate: | 09/29/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 201699 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 207Q00000X | 201699 | NC | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.