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NPI Code Detail

MEDICARE: ELIZABETH STANSBERRY RN

MEDICARE: ELIZABETH STANSBERRY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse265389MA
2163W00000XRegistered Nurse32654RI
3163W00000XRegistered Nurse076563CT
4367500000XCertified Registered Nurse Anesthetist077029MA

General Provider Information

NPI Number : 1427113711
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH STANSBERRY RN
Provider Business Mailing Address
First Line : 199 REEDSDALE RD
Second Line : 404
City : MILTON
State : MA
Zip : 02186-3926
Country : US
Telephone Number : 617-696-4600
Fax Number :
Provider Business Practice Location Address
First Line : 199 REEDSDALE RD
Second Line : 404
City : MILTON
State : MA
Zip : 02186-3926
Country : US
Telephone Number : 617-696-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 02/27/2017

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