Stanley Gerald
Registered Nurse in Revere, MA. Individual provider (NPI-1).
NPI number1710342175
StatusActive
Last updated in NPPESDec 29, 2015
Details
- NPI
- 1710342175
- Entity type
- Individual (NPI-1)
- Name
- Stanley Gerald
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2015
- Last updated
- Dec 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 232231 | MA | Yes |
Practice location
454 BroadwayRevere, MA 02151-3034
Phone 781-485-8282
Mailing address
454 BroadwayRevere, MA 02151-3034
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All 31 Registered Nurse providers in Revere · All 613 providers in Revere
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