# NYOTA ADVANCED WOUND CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699655316
- **Authorized official:** NADEGE TAN (MANAGING MEMBER)
- **Authorized official phone:** (857) 246-9393

## Contact information

- **Practice address:** 140 WOOD RD STE 305, BRAINTREE, MA 02184-2514
- **Practice address phone:** (857) 246-9393
- **Mailing address:** 140 WOOD RD STE 305, BRAINTREE, MA 02184-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/04/2025
- **Last updated:** 11/13/2025