Individual
MR. JUSTIN WAYNE MALINOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8 PROSPECT ST, NASHUA, NH 03060-3925
(603) 577-2000
Mailing address
12 DWYER ST, MERRIMACK, NH 03054-2321
(208) 890-1177
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1624819
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
082089-23
NH
Other
Enumeration date
12/12/2019
Last updated
03/22/2023
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