Individual
DENISE M TAILBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
184 TER HEUN DRIVE, JML CARE CENTER, FALMOUTH, MA 02540
(508) 457-4621
(508) 457-3675
Mailing address
35 BRADY DR, EAST FALMOUTH, MA 02536-3929
(774) 392-0641
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
131244
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4329
BCBS
MA
Enumeration date
05/01/2006
Last updated
08/25/2015
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