Brittany Ann Stang, RN
Individual provider Active NPI Registered Nurse · Bagley, MN
NPI 1487955340 · NPPES record last updated Nov 9, 2010
Key facts
- NPI
- 1487955340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R-1927959 (MN)
- Practice address
- 14 Main Ave S
Bagley, MN 56621-8158 - Phone
- (218) 694-3444
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-1927959 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R-1927959 | MN | Yes |
Addresses
Primary practice location
14 Main Ave S
Bagley, MN 56621-8158
Mailing address
931 Willow St W Apt 1
Detroit Lakes, MN 56501-3810
Phone (320) 267-7581
Other providers in Bagley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.