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STACY A BREAU, APRN – NPI #1043583032
Family


Contact Information

STACY A BREAU, APRN
789 CENTRAL AVE
DOVER, NH03820-2526
 Phone: 603-740-2832
 Fax: 603-740-2833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty
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NPI Profile & details for STACY A BREAU · (Female)

NPI Number 1043583032
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/22/2012
Last updated 02/25/2014 - About 11 months ago
Sole proprietor 1 No
Identifiers
NH License # 056753-23
ME Medicaid 1043583032
NH Medicaid 3082042
NH Medicare PIN 003204201
Hospital affiliation(s)
  • EXETER HOSPITAL INC - (Acute Care)
    5 ALUMNI DRIVE
    EXETER, NH 03833
  • WENTWORTH-DOUGLASS HOSPITAL - (Acute Care)
    789 CENTRAL AVE
    DOVER, NH 03820
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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