Individual
MISS IRENE GIANIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0400
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN01239
RI
363LF0000X
Family Nurse Practitioner
NPP37916
RI
363LF0000X
Family Nurse Practitioner
Primary
RN231584
MA
Other
Enumeration date
09/11/2014
Last updated
02/19/2021
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