Provider Demographics
NPI:1508610825
Name:BARANAUSKAS, VITA
Entity Type:Individual
Prefix:
First Name:VITA
Middle Name:
Last Name:BARANAUSKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CELESTINE TER
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3320
Mailing Address - Country:US
Mailing Address - Phone:781-799-0341
Mailing Address - Fax:
Practice Address - Street 1:7 CELESTINE TER
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3320
Practice Address - Country:US
Practice Address - Phone:781-799-0341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula