person
Lacey Brantner, ARNP
Pediatric Nurse Practitioner in Puyallup, Washington
NPI 1912629601

Lacey Brantner is a Pediatric Nurse Practitioner based in Puyallup, WA and is specialized in Pediatrics. Lacey Brantner practices in Puyallup, WA and has the professional credentials of ARNP. The NPI Number for Lacey Brantner is 1912629601 and holds a License No. AP61358655 (Washington).

The current practice location address for Lacey Brantner is 11102 Sunrise Blvd E Ste 104, Puyallup, WA and can be reached out via phone at 253-848-8797. You can also correspond with Lacey Brantner through the mailing address at 17125 140TH AVE E, PUYALLUP, WA - 98374-9151 (mailing address contact number: 253-579-4532).

Location: 11102 Sunrise Blvd E Ste 104, Puyallup, WA, 98374-9151
person
Provider Profile Details
NPI Number
1912629601
Provider Name
Lacey Brantner
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
11102 Sunrise Blvd E Ste 104, Puyallup, WA, 98374-9151
Phone Number
253-848-8797
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11102 Sunrise Blvd E Ste 104
City
State
Zip
98374-8846
Phone Number
253-848-8797
Fax Number
person
Provider Business Mailing Address Details
Address
11102 Sunrise Blvd E Ste 104
City
State
Zip
98374-8846
Phone Number
253-848-8797
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP61358655 (Washington)
Definition
Definition to come...
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