Individual
OLIVIA PIETRA BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7090
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2349550
MA
363LF0000X
Family Nurse Practitioner
RN2349550
MA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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