Individual provider · Type 1 NPI

Stephanie Qualls, RN, ACCNS-SG

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1134728116 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (857) 238-5600 Map

Mailing address

98 Moore St
East Boston, MA 02128-1538

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134728116

Stephanie Qualls, RN, ACCNS-SG's National Provider Identifier is 1134728116, issued on Oct 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Oct 21, 2020.