Individual
STEPHANIE MAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-8757
(401) 782-9867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02075
RI
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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