Individual
MARY D WARZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
291 INDEPENDENCE DR, CHESTNUT HILL, MA 02467-3628
(617) 325-2800
Mailing address
291 INDEPENDENCE DR, CHESTNUT HILL, MA 02467-3628
(617) 325-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200847
MA
363LA2200X
Adult Health Nurse Practitioner
200847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2979
BLUE CROSS
MA
Enumeration date
04/06/2006
Last updated
10/21/2019
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