Roy, Stephanie Nicole

Roy, Stephanie Nicole is an individual health care provider with primary practice located at 115 W Silver St , Westfield MA 01085-3678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roy, Stephanie Nicole can be contacted via phone (413) 571-0000.

Contact Information

Primary practice address
115 W Silver St Westfield MA 01085-3678
Phone: (413) 571-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA7405 Massachusetts

Profile Details

NPI number 1720617996
LBN Legal business name Roy, Stephanie Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Jan 6th, 2022 - about 2 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 1720617996 NPPES
Massachusetts MEDICAID 110160573A

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