Provider Demographics
NPI:1841994282
Name:ZHAI, STELLA (RN)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:ZHAI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 MONSIGNOR OBRIEN HWY APT 416
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1262
Mailing Address - Country:US
Mailing Address - Phone:781-363-0649
Mailing Address - Fax:
Practice Address - Street 1:169 MONSIGNOR OBRIEN HWY APT 416
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1262
Practice Address - Country:US
Practice Address - Phone:781-363-0649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2314465163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health