Individual
TANISHA STOWERS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
87 N MAIN ST, LEOMINSTER, MA 01453-5507
(978) 534-8701
Mailing address
87 N MAIN ST, LEOMINSTER, MA 01453-5507
(978) 534-8701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2328475
MA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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