Individual
NANCY HARTLEY WALENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 S HUNTINGTON AVE, BUIDLING 9-HBPC, JAMAICA PLAIN, MA 02130-4817
(857) 364-6758
(857) 364-4162
Mailing address
150 S HUNTINGTON AVE, BUILDING 9- HBPC, JAMAICA PLAIN, MA 02130-4817
(857) 364-6758
(857) 364-4162
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN136600
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342670
—
MA
Enumeration date
10/20/2006
Last updated
10/05/2021
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