Individual provider · Type 1 NPI

Lacey Brantner, ARNP

Pediatric Nurse Practitioner · Puyallup, WA

NPI number 1912629601 Active

Practice location

11102 Sunrise Blvd E Ste 104
Puyallup, WA 98374-8846

Call (253) 848-8797 Map

Mailing address

17125 140th Ave E
Puyallup, WA 98374-9151

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP61358655 (WA)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1912629601

Lacey Brantner, ARNP's National Provider Identifier is 1912629601, issued on Sep 19, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Puyallup, WA. The record was last updated on Sep 19, 2022.