Individual provider · Type 1 NPI
Stacey Brake, NP
Adult Health Nurse Practitioner · Aurora, CO
NPI number
1336716299
Active
Practice location
7999 S Fultondale Way
Aurora, CO 80016-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0996402 (CO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 0996402 (CO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1336716299
Stacey Brake, NP's National Provider Identifier is 1336716299, issued on Jun 9, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Aurora, CO. The record was last updated on Jun 9, 2021.