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NPI Code Detail

MEDICARE: BRETT STEPHAN APRN, PMHNP-BC

MEDICARE: BRETT STEPHAN APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61442753WA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner212414AK
3363LP0808XPsychiatric/Mental Health Nurse PractitionerL8-0010497DE
4363LP0808XPsychiatric/Mental Health Nurse Practitioner277004359IL
5363LP0808XPsychiatric/Mental Health Nurse PractitionerNUR-APRN-LIC-219381MT
6363LP0808XPsychiatric/Mental Health Nurse Practitioner298526AZ
7363LP0808XPsychiatric/Mental Health Nurse Practitioner10010368OR
8363LP0808XPsychiatric/Mental Health Nurse PractitionerR55069ND
9363LP0808XPsychiatric/Mental Health Nurse Practitioner75566NM

General Provider Information

NPI Number : 1518544477
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT STEPHAN APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 159 N SANGAMON ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2201
Country : US
Telephone Number : 773-923-3543
Fax Number : 773-232-8609
Provider Business Practice Location Address
First Line : 159 N SANGAMON ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2201
Country : US
Telephone Number : 773-923-3543
Fax Number : 773-232-8609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 02/11/2026

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