Individual
STEPHANIE HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MERRIMACK ST, LAWRENCE, MA 01843-1740
(978) 688-4830
Mailing address
360 MERRIMACK ST, LAWRENCE, MA 01843-1740
(978) 688-4830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2304665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2304665
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
06/20/2018
Last updated
06/20/2018
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