Provider Demographics
NPI:1730437922
Name:FERRARO, STEPHANIE JOY (RN, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:JOY
Last Name:FERRARO
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Gender:F
Credentials:RN, PMHNP-BC
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Mailing Address - Street 1:55 HIGHLAND AVE
Mailing Address - Street 2:SUITE #201
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2185
Mailing Address - Country:US
Mailing Address - Phone:978-825-6620
Mailing Address - Fax:978-825-6622
Practice Address - Street 1:55 HIGHLAND AVE
Practice Address - Street 2:SUITE #201
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2185
Practice Address - Country:US
Practice Address - Phone:978-825-6620
Practice Address - Fax:978-825-6622
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2014-08-15
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Provider Licenses
StateLicense IDTaxonomies
MARN2270455363LP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse