Stackpoole, Mari Agnes

Stackpoole, Mari Agnes is an individual health care provider with primary practice located at 1261 Furnace Brook Pkwy Suite 30-31, Quincy MA 02169-4721. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Stackpoole, Mari Agnes can be contacted via phone (617) 479-4545.

Contact Information

Primary practice address
1261 Furnace Brook Pkwy Suite 30-31 Quincy MA 02169-4721
Phone: (617) 479-4545
Fax: (617) 479-4555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 280880 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 280880 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 280880 Massachusetts

Profile Details

NPI number 1790013910
LBN Legal business name Stackpoole, Mari Agnes
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2009
Last updated Jan 9th, 2020 - about 4 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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