Healthcare Provider Details

I. General information

NPI: 1841141520
Provider Name (Legal Business Name): MRS. STEPHANIA FLORES-ESPAILLAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BULFINCH DR APT 110
ANDOVER MA
01810-1129
US

IV. Provider business mailing address

600 BULFINCH DR APT 110
ANDOVER MA
01810-1129
US

V. Phone/Fax

Practice location:
  • Phone: 603-479-4488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2379119
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN2379119
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: