Provider Demographics
NPI:1578616132
Name:BRINSON, STEPHENIE VANDERMEER (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHENIE
Middle Name:VANDERMEER
Last Name:BRINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:876 TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4850
Mailing Address - Country:US
Mailing Address - Phone:919-803-2285
Mailing Address - Fax:919-803-2318
Practice Address - Street 1:876 TIMBER DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4850
Practice Address - Country:US
Practice Address - Phone:919-803-2285
Practice Address - Fax:919-803-2318
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201699363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine