What is Stephanie Qualls's NPI number?

The NPI number assigned to this healthcare provider is 1134728116, enumerated as a individual on October 21, 2020.

Where is the provider located?

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (857) 238-5600.

STEPHANIE QUALLS RN, ACCNS-SG - NPI 1134728116 - Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Stephanie Qualls Rn, Accns-sg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE QUALLS RN, ACCNS-SG (NPI 1134728116) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1134728116

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSTEPHANIE QUALLSCredential: RN, ACCNS-SG

Location Address55 FRUIT STBoston, MA 02114-2621

Mailing Address98 Moore StEast Boston, MA 02128-1538 · (617) 543-0954

Phone(857) 238-5600

Sole ProprietorNo

Enumeration DateOctober 21, 2020

NPPES CertifiedOctober 21, 2020

✔ NPI 1134728116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 FRUIT ST, Boston, MA 02114

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