Individual
ERICH BERANTUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 334-2670
(508) 334-2781
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN2284464
MA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN2284464
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2284464
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404793
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284464
MA
Other
Enumeration date
10/27/2020
Last updated
11/26/2024
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