Individual provider · NPI-1

Stacy Brady, CNS

Clinical Nurse Specialist · Providence, RI

NPI number1740786227
StatusActive
Last updated in NPPESApr 3, 2018

Details

NPI
1740786227
Entity type
Individual (NPI-1)
Name
Stacy Brady
Credential
CNS
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2018
Last updated
Apr 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse SpecialistRN2271142MAYes

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Phone 401-273-7100

Mailing address

30 Saint James Pl
Attleboro, MA 02703-8170

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