Individual
STACEY M NUTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3077
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y008937NH01
ANTHEM
NH
05
—
30393853
—
NH
01
—
386489
MVP
NH
01
—
432037999
MAINECARE
ME
01
—
6107601
CIGNA
NH
Enumeration date
07/23/2006
Last updated
05/29/2025
Update your record
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