Individual
BIANCA VENEZIA GONYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
36 MOUNT VERNON ST, MIDDLETON, MA 01949-2215
(978) 907-3662
Mailing address
14 WEBB PL, DOVER, NH 03820-2467
(603) 742-7900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
073780-21
NH
163W00000X
Registered Nurse
RN2319076
MA
363L00000X
Nurse Practitioner
Primary
073780-23
NH
363LF0000X
Family Nurse Practitioner
RN2319076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073780-23
—
NH
Enumeration date
03/07/2020
Last updated
07/29/2021
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