Individual provider · NPI-1

Stella Macharia

Nurse Practitioner, Psych/Mental Health · Methuen, MA

NPI number1982202073
StatusActive
Last updated in NPPESJan 31, 2023

Details

NPI
1982202073
Entity type
Individual (NPI-1)
Name
Stella Macharia
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2020
Certification date
Jan 31, 2023
Last updated
Jan 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthRN2284629MAYes
207QA0505X Family Medicine, Adult Medicine2284629MA
363LF0000X Nurse Practitioner, FamilyRN2284629MA

Practice location

147 Pelham St
Methuen, MA 01844-2060

Phone 978-683-3491 · Fax 978-683-3058

Mailing address

147 Pelham St
Methuen, MA 01844-2060

Phone 978-683-3491 · Fax 978-683-3058

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