Individual
MRS. MARIA BANEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
419 MIDDLE TPKE W, MANCHESTER, CT 06040-3833
(860) 643-1607
(203) 752-8785
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 752-2856
(203) 752-8785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000714
CT
Other
Enumeration date
11/22/2005
Last updated
03/27/2012
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