Individual provider · Type 1 NPI
Stacy Jill Osterhoudt, ACNPC-AG
Critical Care Medicine Nurse Practitioner · Boston, MA
NPI number
1215628664
Active
Practice location
725 Albany Street, Suite 7B, Shapiro Bldg.
Boston, MA 02118
Fax (617) 638-8465
Mailing address
960 Massachusetts Avenue, Fl 2
Boston, MA 02118-2690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN2389809 (MA) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | RN2389809 (MA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1215628664
Stacy Jill Osterhoudt, ACNPC-AG's National Provider Identifier is 1215628664, issued on May 17, 2023. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Boston, MA. The record was last updated on Sep 18, 2024.