Provider Demographics
NPI:1366024523
Name:MARKOWSKI, STEPHEN PATRICK (AGPCNP)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:PATRICK
Last Name:MARKOWSKI
Suffix:
Gender:M
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 WINTER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-8740
Mailing Address - Country:US
Mailing Address - Phone:781-373-2940
Mailing Address - Fax:
Practice Address - Street 1:281 WINTER ST FL 2
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-8740
Practice Address - Country:US
Practice Address - Phone:781-373-2940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015353363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care