Individual
STEPHANIE NICOLE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3678
(413) 571-0000
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA7405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110160573A
—
MA
Enumeration date
04/08/2020
Last updated
01/06/2022
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