STACEY BRYANT NP NPI 1376521369

NPI Information

Stacey Bryant, NP is a gerontology nurse practitioner in Medford, MA. Stacey Bryant, NP NPI is 1376521369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

170 GOVERNORS AVE
HALLMARK HEALTH SYSTEM, INC.
MEDFORD, MA
ZIP 02155-643
Phone: (781) 306-6000
Fax: (781) 306-6085

The NPI 1376521369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 5/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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