Individual
TESSA STABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4133
Mailing address
545 PHENIX AVE, CRANSTON, RI 02921-1123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2339809
MA
Other
Enumeration date
07/13/2021
Last updated
10/02/2023
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