Individual
NADIA TIKHOMIROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3799
(978) 635-8700
Mailing address
321 MAIN ST, ACTON, MA 01720-3799
(978) 635-8700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2263046
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
Enumeration date
08/31/2012
Last updated
06/15/2020
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