Stantial, Joyce L

Stantial, Joyce L is an individual health care provider with primary practice located at 850 Harrison Ave Yawkey 4Th Floor, Boston MA 02118-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Stantial, Joyce L can be contacted via phone (617) 414-2000.

Contact Information

Primary practice address
850 Harrison Ave Yawkey 4Th Floor Boston MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN255201 Massachusetts

Profile Details

NPI number 1154380707
LBN Legal business name Stantial, Joyce L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 15th, 2014 - about 12 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 1154380707 NPPES
Massachusetts MEDICAID 110017001A

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