Doctor Name: | JULIETTE RENZULLO |
NPI Number: | 1134369192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN268439 |
Business Practice Address: | 100 Andover Bypass #300 North Andover, MA - 01845 |
Business Phone Number: | 9786889979 |
Business Fax Number: | 9786887727 |
Mailing Address: | Po Box 760, WINCHESTER |
State: | MA |
Postal Code: | 018904260 |
Phone Number: | 7817567273 |
Fax Number: | 7817310725 |
NPI Enumeration Date: | 03/03/2009 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN268439 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |