person
Ms. Judith Louise Formanek, NP
Women's Health Nurse Practitioner in Lawrence, Massachusetts
NPI 1689712911

Judith Louise Formanek is a Women's Health Nurse Practitioner based in Westford, MA and is specialized in Women's Health. Judith Louise Formanek practices in Lawrence, MA and has the professional credentials of NP. The NPI Number for Judith Louise Formanek is 1689712911 and holds a License No. 186429 (Massachusetts).

The current practice location address for Judith Louise Formanek is 101 Amesbury St, Lawrence, MA and can be reached out via phone at 978-681-5258 and via fax at 978-681-5387. You can also correspond with Judith Louise Formanek through the mailing address at 33 PINE RD, WESTFORD, MA - 01886-1421 (mailing address contact number: 978-692-0994).

Location: 101 Amesbury St, Lawrence, MA, 01886-1421
person
Provider Profile Details
NPI Number
1689712911
Provider Name
Judith Louise Formanek
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 Amesbury St, Lawrence, MA, 01886-1421
Phone Number
978-681-5258
Fax Number
978-681-5387
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP 3248 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
101 Amesbury St
City
State
Zip
01840-1323
Phone Number
978-681-5258
Fax Number
978-681-5387
person
Provider Business Mailing Address Details
Address
33 Pine Rd
City
State
Zip
01886-1421
Phone Number
978-692-0994
Fax Number
978-681-5387
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
186429 (Massachusetts)
Definition
Definition to come...
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