Individual
MRS. ANN L BANIUKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
142 WORCESTER RD, CHARLTON, MA 01507-1244
(508) 248-5473
(508) 248-4683
Mailing address
142 WORCESTER RD, CHARLTON, MA 01507-1244
(508) 248-5473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN165847
MA
Other
Enumeration date
09/25/2013
Last updated
02/14/2019
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