Individual
ELIZABETH TIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6636
Mailing address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
070439-23
NH
363LA2100X
Acute Care Nurse Practitioner
RN263182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110152268A
—
MA
Enumeration date
04/18/2019
Last updated
11/10/2022
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