Individual
CHERYL WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
135 GRANITE AVE APT 49, DORCHESTER, MA 02124-5466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP284036
MA
363L00000X
Nurse Practitioner
Primary
RN284036
MA
Other
Enumeration date
12/03/2013
Last updated
07/11/2022
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