Individual
STEPHANIE CAROLINE MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(203) 586-9887
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2319870
MA
363LF0000X
Family Nurse Practitioner
RN2319870
MA
Other
Enumeration date
01/14/2022
Last updated
03/22/2022
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