Individual
MISS PRISCA B BANGANDOZOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 QUEEN STREET, WORCESTER, MA 01610
(508) 860-7700
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7800
(508) 860-7865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2322754
MA
Other
Enumeration date
04/10/2024
Last updated
07/26/2024
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