Individual provider · Type 1 NPI

Ganam Konikara, CPNP-PC

Pediatric Nurse Practitioner · Westborough, MA

NPI number 1982375796 Active

Practice location

288 Lyman St
Westborough, MA 01581-2664

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	RN2268058 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1982375796

Ganam Konikara, CPNP-PC's National Provider Identifier is 1982375796, issued on Sep 22, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Westborough, MA. The record was last updated on Oct 14, 2021.