Individual
TARA RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2278619
MA
363L00000X
Nurse Practitioner
Primary
RN2278619
MA
Other
Enumeration date
10/26/2020
Last updated
01/03/2023
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