Active NPIIndividual provider

Stacey Bryant, NP

Nurse Practitioner, Gerontology in Medford, Massachusetts

NPI Number1376521369
Practice location
170 Governors Ave, Hallmark Health System, INC., Medford, MA 02155-1643
Fax
781-306-6085
Last updated
May 20, 2013

Stacey Bryant is a Nurse Practitioner, Gerontology based in Medford, MA. Stacey Bryant practices in Medford, MA and has the professional credentials of NP. The NPI Number for Stacey Bryant is 1376521369 and holds a License No. 215935 (MA). The current practice location address for Stacey Bryant is 170 Governors Ave, Hallmark Health System, INC., Medford, MA 02155-1643 and can be reached out via phone at 781-306-6000 and via fax at 781-306-6085.

Provider Profile Details

NPI Number
1376521369
Provider Name
Stacey Bryant
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
170 Governors Ave, Hallmark Health System, INC., Medford, MA 02155-1643
Phone Number
781-306-6000
Fax Number
781-306-6085
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
January 9, 2006
Last Update Date
May 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave
Hallmark Health System, INC.
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
781-306-6000
Fax Number
781-306-6085
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
170 Governors Ave
Hallmark Health System, INC.
Medford, MA 02155-1643
City
Medford
State
MA
Zip
02155-1643
Phone Number
781-306-6000
Fax Number
781-306-6085

License Information

License Number
215935
License State
MA
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Stacey Bryant, NP?

The NPI number of Stacey Bryant, NP is 1376521369. It was assigned on January 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Stacey Bryant, NP?

Stacey Bryant, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 215935.

Where does Stacey Bryant, NP practice?

The practice location is 170 Governors Ave, Hallmark Health System, INC., Medford, MA 02155-1643. The office can be reached at 781-306-6000 (phone) or 781-306-6085 (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 1376521369 directly on the NPPES registry website.

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