Osterhoudt, Stacy Jill

Osterhoudt, Stacy Jill is an individual health care provider with primary practice located at 725 Albany Street, Suite 7B Shapiro Bldg., Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Osterhoudt, Stacy Jill can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany Street, Suite 7B Shapiro Bldg. Boston MA 02118
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN2389809 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X RN2389809 Massachusetts

Profile Details

NPI number 1215628664
LBN Legal business name Osterhoudt, Stacy Jill
Credentials ACNPC-AG,
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2023
Last updated Apr 3rd, 2024 - about last year

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 1215628664 NPPES
New Hampshire MEDICAID 3143868
New Hampshire MEDICAID 110204587A

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