Individual
KAYLA BANATOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 LINCOLN ST STE 203, FRAMINGHAM, MA 01702-8264
(508) 500-6166
Mailing address
7 GREAT RD, MAYNARD, MA 01754-2016
(603) 531-9424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2324891
MA
Other
Enumeration date
02/19/2025
Last updated
07/07/2025
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