Individual
MRS. STEPHANIE ANN VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
626 SOUTHERN ARTERY, QUINCY, MA 02169-5648
(866) 389-2727
Mailing address
626 SOUTHERN ARTERY, QUINCY, MA 02169-5648
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
9439320
FL
363LF0000X
Family Nurse Practitioner
11009677
FL
363LF0000X
Family Nurse Practitioner
2352338
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2352338
MA
Other
Enumeration date
09/09/2020
Last updated
02/26/2024
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