Bryant, Stacey

Bryant, Stacey is an individual health care provider with primary practice located at 170 Governors Ave Hallmark Health System, Inc., Medford MA 02155-1643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bryant, Stacey can be contacted via phone (781) 306-6000.

Contact Information

Primary practice address
170 Governors Ave Hallmark Health System, Inc. Medford MA 02155-1643
Phone: (781) 306-6000
Fax: (781) 306-6085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 215935 Massachusetts

Profile Details

NPI number 1376521369
LBN Legal business name Bryant, Stacey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated May 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376521369 NPPES
Massachusetts MEDICAID 1200992

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