Individual
MRS. MARYANNE BANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
114 WHITWELL ST, QUINCY, MA 02169-1870
(617) 376-2010
(617) 376-2015
Mailing address
114 WHITWELL ST, QUINCY, MA 02169-1870
(617) 376-2010
(617) 376-2015
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
157701
MA
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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