Individual provider · Type 1 NPI

Stacy Foote

Medical Physician Assistant · Pelham, NH

NPI number 1659848372 Active

Practice location

7 Independence Dr
Pelham, NH 03076-2331

Mailing address

1493 Cambridge St
Cambridge, MA 02139-1047

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1659848372

Stacy Foote's National Provider Identifier is 1659848372, issued on Oct 31, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pelham, NH. The record was last updated on Apr 18, 2019.