Provider Demographics
NPI:1891193157
Name:STUITJE, FRANKTINUS (RNBSN)
Entity Type:Individual
Prefix:
First Name:FRANKTINUS
Middle Name:
Last Name:STUITJE
Suffix:
Gender:M
Credentials:RNBSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1926
Mailing Address - Country:US
Mailing Address - Phone:413-275-2828
Mailing Address - Fax:
Practice Address - Street 1:12 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1926
Practice Address - Country:US
Practice Address - Phone:413-275-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN213235163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse