Individual
DANIELLE SARA CALLIONTZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2335223
MA
207Q00000X
Family Medicine Physician
RN2335223
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2335223
MA
Other
Enumeration date
06/21/2022
Last updated
07/14/2025
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