Individual
MR. HARUNA KIBUNDILA MALIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-C
Contact information
Practice address
30 MASSACHUSETTS AVE STE 201, NORTH ANDOVER, MA 01845-3458
(617) 596-0601
Mailing address
PO BOX 1715, ANDOVER, MA 01810-0029
(617) 596-0601
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN278416
MA
Other
Enumeration date
07/09/2020
Last updated
04/01/2025
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