Individual
MRS. PATRICIA LOUISE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
942 W CHESTNUT ST, BROCKTON, MA 02301-5567
(508) 427-1603
Mailing address
12 KRISTI WAY, WEST BARNSTABLE, MA 02668-1734
(508) 420-9044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178712
MA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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