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NPI Code Detail

MEDICARE: DR. STACEY H BARONE PHD, NP-C, CRRN

MEDICARE: DR. STACEY H BARONE PHD, NP-C, CRRN
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
1363LP2300XPrimary Care Nurse PractitionerRN170426MA

General Provider Information

NPI Number : 1477229763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STACEY H BARONE PHD, NP-C, CRRN
Provider Business Mailing Address
First Line : 1 SENECA RD
Second Line :
City : MEDFIELD
State : MA
Zip : 02052-2903
Country : US
Telephone Number : 508-315-9050
Fax Number :
Provider Business Practice Location Address
First Line : 140 COMMONWEALTH AVE
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3858
Country : US
Telephone Number : 617-552-8059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 08/18/2021

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