Theresa Caron Bognanno, CRNA
NPI #1245294891 in Dorchester Center, Massachusetts
Provider Information
- NPI Number
- 1245294891
- Entity Type
- Individual
- Name
- Theresa Caron Bognanno, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Feb 3, 2010
Practice Location
- Address
- 2100 DORCHESTER AVE
- State
- Massachusetts
- ZIP Code
- 02124-5615
- Phone
- (617) 298-4632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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