Doctor Name: | MRS. ELAINE MARIE STIEHL |
NPI Number: | 1104996321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP, RN/PC |
License Number: | 106849 |
Business Practice Address: | 178 Savin St Suite 200 Malden, MA - 021482329 |
Business Phone Number: | 7813387250 |
Business Fax Number: | 7813387245 |
Mailing Address: | 178 Savin St, Suite 200 MALDEN |
State: | MA |
Postal Code: | 021482329 |
Phone Number: | 7813387250 |
Fax Number: | 7813387245 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 106849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |