Individual
DEBRA J SKONIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3914
Mailing address
403 WETHERSFIELD ST, ROWLEY, MA 01969-1613
(978) 948-3969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
147691
MA
Other
Enumeration date
11/07/2006
Last updated
09/19/2023
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