Individual provider · Type 1 NPI

Siri Mamounge Fobanjong

Registered Nurse · Weston, MA

NPI number 1245919067 Active

Practice location

235 Wellesley St
Weston, MA 02493-1571

Mailing address

27 Eddy Dr
Westport, MA 02790-1931

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN2261316 (MA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1245919067

Siri Mamounge Fobanjong's National Provider Identifier is 1245919067, issued on Jul 18, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Weston, MA. The record was last updated on Jul 20, 2023.