Stantial, Joyce L
Stantial, Joyce L is an individual health care provider with primary practice located at 850 Harrison Ave Yawkey 4Th Floor, Boston MA 02118-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Stantial, Joyce L can be contacted via phone (617) 414-2000.Contact Information
Primary practice address
850 Harrison Ave Yawkey 4Th Floor
Boston MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN255201 | Massachusetts |
Profile Details
NPI number | 1154380707 |
---|---|
LBN Legal business name | Stantial, Joyce L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Jul 15th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154380707 | NPPES |
Massachusetts | MEDICAID | 110017001A |
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