Stephanie Rachel Durell
Physician Assistant in Longmeadow, MA. Individual provider (NPI-1).
NPI number1346973799
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1346973799
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Rachel Durell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2022
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
588 Longmeadow StLongmeadow, MA 01106-2212
Phone 781-454-9882
Mailing address
588 Longmeadow StLongmeadow, MA 01106-2212
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Other Physician Assistant providers in Longmeadow, MA
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- Lucas P CrowleyNPI 1578297081
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All 36 Physician Assistant providers in Longmeadow · All 629 providers in Longmeadow
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