person
Stacey Bryant, NP
Gerontology Nurse Practitioner in Medford, Massachusetts
NPI 1376521369

Stacey Bryant is a Gerontology Nurse Practitioner based in Medford, MA and is specialized in Gerontology. 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 (Massachusetts).

The current practice location address for Stacey Bryant is 170 Governors Ave, Medford, MA and can be reached out via phone at 781-306-6000 and via fax at 781-306-6085.

Location: 170 Governors Ave, Medford, MA, 02155-1643
person
Provider Profile Details
NPI Number
1376521369
Provider Name
Stacey Bryant
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
170 Governors Ave, Medford, MA, 02155-1643
Phone Number
781-306-6000
Fax Number
781-306-6085
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1200992 05 MA
institution
Provider Business Practice Location Address Details
Address
170 Governors Ave
City
State
Zip
02155-1643
Phone Number
781-306-6000
Fax Number
781-306-6085
person
Provider Business Mailing Address Details
Address
170 Governors Ave
City
State
Zip
02155-1643
Phone Number
781-306-6000
Fax Number
781-306-6085
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
215935 (Massachusetts)
Definition
Definition to come...
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