Stacy Lynn Brunquist
Nurse Practitioner - Neonatal (Critical Care)
3200 Providence Dr
Anchorage
, Alaska 99508-4615
Stacy Lynn Brunquist
Nurse Practitioner - Neonatal (Critical Care)
3200 Providence Dr
Anchorage
, Alaska 99508-4615
(425) 917-9141
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Stacy Lynn Brunquist
- Po Box 4105
- Portland, OR
- Zip : 97208-4105
- Fax : (425) 917-9141
- Phone : (866) 907-1068
Second Address
- Stacy Lynn Brunquist
- 3200 Providence Dr
- Anchorage, AK
- Zip : 99508-4615
- Fax : (907) 212-4896
- Phone : (907) 212-5006
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FAQs
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Is Stacy Lynn Brunquist a sole practitioner?
Is Stacy Lynn Brunquist accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 1095 | AK |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 200950111NP NNP-PP | OR |
National Provider Identifier
| NPI | 1104059492 |
|---|---|
| Provider Name | Stacy Lynn Brunquist |
| First Address | Portland, OR 97208-4105 |
| Second Address | Anchorage, AK 99508-4615 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2009 |
| Last Update Date | 17/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1570883 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.