Individual provider · Type 1 NPI
Rodriq E. Stubbs, NP
Adult Health Nurse Practitioner · Boston, MA
NPI number
1235190810
Active
Practice location
133 Brookline Ave
Boston, MA 02215-3904
Fax (617) 421-3487
Mailing address
147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 261397 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 261397 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1235190810
Rodriq E. Stubbs, NP's National Provider Identifier is 1235190810, issued on Mar 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jul 13, 2026.