STACEY MARIE BRUNDRETT CNS NPI 1174137756

NPI Information

  • NPI: 1174137756
  • Provider Name: STACEY MARIE BRUNDRETT, CNS
  • Classification: Clinical Nurse Specialist - 364SM0705X
  • Specialization: Medical-Surgical
  • Entity Type: Individual
  • Address: 2803 MEDICAL CAMPUS DR
    SEYMOUR JOHNSON AFB, NC
    ZIP 27531
  • Phone: (919) 722-8714

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NPI Details

Stacey Marie Brundrett, CNS is a medical-surgical clinical nurse specialist in Seymour Johnson Afb, NC. Stacey Marie Brundrett, CNS NPI is 1174137756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2803 MEDICAL CAMPUS DR
SEYMOUR JOHNSON AFB, NC
ZIP 27531
Phone: (919) 722-8714

The enumeration date for this NPI number is 9/1/2020 and was last updated on 2/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SM0705XClinical Nurse SpecialistMedical-SurgicalAPRN9630300FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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