Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Lee Favazza, CRNA

Individual provider Registered Nurse · NPI 1063892594

Stacy Lee Favazza, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Pratt Anesthesiology Associates Inc, a 155-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN2272463 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2272463 (MA)

Record details

NPI number1063892594
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 29, 2015
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pratt Anesthesiology Associates Inc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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