Individual provider · Type 1 NPI

Stacy Elaine Peralta

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

NPI number 1467033308 Active

Practice location

185 Pilgrim Rd
Boston, MA 02215-5324

Call (617) 632-8428 Map

Mailing address

330 Brookline Ave
Boston, MA 02215-5491

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 1467033308

Stacy Elaine Peralta's National Provider Identifier is 1467033308, issued on Apr 20, 2021. 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 Nov 3, 2025.