Individual
STACEY ROSE TOSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 CAMBRIDGE ST, BOSTON, MA 02114-2509
(617) 726-4807
Mailing address
185 CAMBRIDGE ST, BOSTON, MA 02114-2790
(617) 265-5050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN228748
MA
363LA2200X
Adult Health Nurse Practitioner
RN228748
MA
Other
Enumeration date
10/02/2020
Last updated
05/09/2023
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