STACY LYNN BRIX


Address: 4417 N 6th St # 2319, Philadelphia, PA 19140-2319
Phone: 2153023600

STACY LYNN BRIX (NPI# 1225532344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225532344
Entity Type Individual
Full Name STACY LYNN BRIX
Credential NP
Practice Address 4417 N 6th St # 2319
Philadelphia
PA 19140-2319
Practice Telephone 2153023600
Mailing Telephone 2153023600
Enumeration Date 2018-03-22
Last Update Date 2020-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 26NJ008900 NJ Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP020571 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4417 N 6TH ST # 2319
City PHILADELPHIA
State PA
Zip Code 19140-2319

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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Competitor

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City PHILADELPHIA
Zip Code 19140

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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