Mr. Daniel Stakutis
Mr. Daniel Stakutis is a Nurse Practitioner in Medford, Massachusetts. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Massachusetts.
- Years since qualifying
- 1
- Licensed in
- MA
- In the registry since
- 2025
Practice location Address checks out
100 Rivers Edge Dr Unit 448Medford, MA 02155-5477
Phone: (508) 380-2208
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 2312263 (MA) |
|---|
Record details
| NPI number | 1558156802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2025 |
| Last updated in NPPES | April 9, 2025 |
| Certification date | April 9, 2025 |
| Mailing address | 100 Rivers Edge Dr Unit 448, Medford, MA 02155-5477 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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