Stacy L. Pominville
Nurse Practitioner
10 N Main St
Charlton
, Massachusetts 01507-1590
Stacy L. Pominville
Nurse Practitioner
10 N Main St
Charlton
, Massachusetts 01507-1590
(508) 248-4734
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Stacy L. Pominville
- 10 N Main St
- Charlton, MA
- Zip : 01507-1590
- Fax : (508) 248-4734
- Phone : (508) 248-3015
Second Address
- Stacy L. Pominville
- 10 N Main St
- Charlton, MA
- Zip : 01507-1590
- Fax : (508) 248-4734
- Phone : (508) 248-3015
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Is Stacy L. Pominville a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 266669 | MA |
National Provider Identifier
| NPI | 1013187616 |
|---|---|
| Provider Name | Stacy L. Pominville |
| First Address | Charlton, MA 01507-1590 |
| Second Address | Charlton, MA 01507-1590 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2008 |
| Last Update Date | 21/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.