Individual
STEPHANIE BALZANO SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-BC
Contact information
Practice address
10 EMORY ST, ATTLEBORO, MA 02703-3089
(401) 415-4200
(401) 415-4210
Mailing address
171 WINDWARD WAY, SWANSEA, MA 02777-1135
(401) 301-0207
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
PENDING
RI
Other
Enumeration date
03/16/2022
Last updated
10/01/2025
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