Individual provider · Type 1 NPI
Stacey Bryant, NP
Gerontology Nurse Practitioner · Medford, MA
NPI number
1376521369
Active
Practice location
170 Governors Ave, Hallmark Health System, Inc.
Medford, MA 02155-1643
Fax (781) 306-6085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 215935 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1376521369
Stacey Bryant, NP's National Provider Identifier is 1376521369, issued on Jan 9, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Medford, MA. The record was last updated on May 20, 2013.