Individual
PETER WAINAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
95 WASHINGTON ST STE 104177, CANTON, MA 02021-4006
(781) 366-0310
Mailing address
392 HIGHLAND ST, STOUGHTON, MA 02072-3878
(781) 424-9962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN279463
MA
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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