Provider Demographics
NPI:1568344406
Name:ST BRICE, MAJELLA (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:MAJELLA
Middle Name:
Last Name:ST BRICE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 SW DAHLED AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-4029
Mailing Address - Country:US
Mailing Address - Phone:340-332-2644
Mailing Address - Fax:
Practice Address - Street 1:565 SW DAHLED AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-4029
Practice Address - Country:US
Practice Address - Phone:340-332-2644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9189138163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse