Individual
STEVENSON MORENCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3336
Mailing address
50 ROANOKE RD APT 1, HYDE PARK, MA 02136-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2257992
MA
363LF0000X
Family Nurse Practitioner
2019074184
MA
Other
Enumeration date
12/23/2019
Last updated
06/28/2021
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