Pena, Stephanie M

Pena, Stephanie M is an individual health care provider with primary practice located at 67 Union Street Suite 308, Natick MA 01760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Pena, Stephanie M can be contacted via phone (508) 655-4422.

Contact Information

Primary practice address
67 Union Street Suite 308 Natick MA 01760
Phone: (508) 655-4422
Fax: (508) 655-9191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X AP2050 Massachusetts

Profile Details

NPI number 1558486985
LBN Legal business name Pena, Stephanie M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558486985 NPPES
Massachusetts Other MA-AP2561 PROVIDER ID NUMBER

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