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NPI 1801545686 · live from the CMS NPI Registry

Renee Alexandra Banks

Nurse Practitioner, Pediatrics in Brighton, MA. National Provider Identifier 1801545686, active.

NPI record

NPI1801545686 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location30 Warren St, Brighton, MA 02135
Practice phone508-510-9744
Mailing address106 S Elm St, West Bridgewater, MA 02379
EnumeratedMarch 21, 2022
Last updatedMarch 24, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse163W00000XRN2336250 (MA)
Nurse Practitioner, Pediatrics primary363LP0200XRN2336250 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.