Individual provider · Type 1 NPI

Stacy Rae Kreger, AGNP

Primary Care Nurse Practitioner · Brookings, OR

NPI number 1760956312 Active

Practice location

524 Spruce St Ste 5
Brookings, OR 97415-0407

Fax (541) 813-1506

Mailing address

PO Box 488
Brookings, OR 97415-0043

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X201900396 (OR)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1760956312

Stacy Rae Kreger, AGNP's National Provider Identifier is 1760956312, issued on Jan 16, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brookings, OR. The record was last updated on Jan 3, 2024.