Stacy L Pominville, NP
Nurse Practitioner in Charlton, Massachusetts
1013187616- Practice location
- 10 N Main St, Charlton, MA 01507-1590
- Phone
- 508-248-3015
- Fax
- 508-248-4734
- Last updated
- December 21, 2011
Stacy L. Pominville is a Nurse Practitioner based in Charlton, MA. Stacy L. Pominville practices in Charlton, MA and has the professional credentials of NP. The NPI Number for Stacy L. Pominville is 1013187616 and holds a License No. 266669 (MA). The current practice location address for Stacy L. Pominville is 10 N Main St, Charlton, MA 01507-1590 and can be reached out via phone at 508-248-3015 and via fax at 508-248-4734.
Provider Profile Details
- NPI Number
- 1013187616
- Provider Name
- Stacy L. Pominville
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 N Main St, Charlton, MA 01507-1590
- Phone Number
- 508-248-3015
- Fax Number
- 508-248-4734
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- -- Stacy L. Bangma, NP (Former Name)
- Provider Enumeration Date
- March 11, 2008
- Last Update Date
- December 21, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 N Main St
Charlton, MA 01507-1590 - City
- Charlton
- State
- Massachusetts
- Zip
- 01507-1590
- Phone Number
- 508-248-3015
- Fax Number
- 508-248-4734
Provider Business Mailing Address Details
- Address
- 10 N Main St
Charlton, MA 01507-1590 - City
- Charlton
- State
- MA
- Zip
- 01507-1590
- Phone Number
- 508-248-3015
- Fax Number
- 508-248-4734
License Information
- License Number
- 266669
- License State
- MA
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stacy L Pominville, NP?
The NPI number of Stacy L Pominville, NP is 1013187616. It was assigned on March 11, 2008 and is currently active in the NPPES registry.
What is the specialty of Stacy L Pominville, NP?
Stacy L Pominville, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 266669.
Where does Stacy L Pominville, NP practice?
The practice location is 10 N Main St, Charlton, MA 01507-1590. The office can be reached at 508-248-3015 (phone) or 508-248-4734 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013187616 directly on the NPPES registry website.