Individual
MRS. STEPHANI LYNNE TABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
160 MARION RD, ROCHESTER, MA 02770-4112
(508) 763-5585
(508) 763-9693
Mailing address
160 MARION RD, ROCHESTER, MA 02770-4112
(508) 763-5585
(508) 763-9693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212339
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0712477
MASS HEALTH
MA
Enumeration date
07/24/2007
Last updated
07/24/2007
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