Individual
STACY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
Mailing address
15 ALEXANDER RD, LONDONDERRY, NH 03053-2628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2343690
MA
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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