Individual
STEPHANIE JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 STEPHEN PL, NEWTON, MA 02461-2007
(617) 852-9988
Mailing address
26 STEPHEN PL, NEWTON, MA 02461-2007
(617) 852-9988
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2284040
MA
Other
Enumeration date
10/24/2014
Last updated
10/25/2014
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