Individual provider · Type 1 NPI

Melody M. Banasiak, NP

Gerontology Nurse Practitioner · Shrewsbury, MA

NPI number 1497405609 Active

Practice location

222 Boston Tpke
Shrewsbury, MA 01545-5224

Fax (508) 853-4354

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN2337205 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1497405609

Melody M. Banasiak, NP's National Provider Identifier is 1497405609, issued on Mar 29, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shrewsbury, MA. The record was last updated on Mar 29, 2022.