Individual
RENEE ALEXANDRA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(508) 510-9744
Mailing address
106 S ELM ST, WEST BRIDGEWATER, MA 02379-1629
(508) 510-9744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2336250
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2336250
MA
Other
Enumeration date
03/21/2022
Last updated
03/24/2025
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