Healthcare Provider Details

I. General information

NPI: 1659586865
Provider Name (Legal Business Name): DENA BETH STETSON RNCS, MSN, COHN-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/13/2020
Certification Date: 08/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HAWTHORNE PL STE 114
BOSTON MA
02114-2336
US

IV. Provider business mailing address

31 JODIE RD
FRAMINGHAM MA
01702-6142
US

V. Phone/Fax

Practice location:
  • Phone: 617-367-5002
  • Fax: 877-529-0181
Mailing address:
  • Phone: 508-626-3634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number179811
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: