Individual
MRS. TARA LIN PANCIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, FNP-BC
Contact information
Practice address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
Mailing address
14 ELMDALE ST, SEEKONK, MA 02771-5118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2361401
MA
163W00000X
Registered Nurse
RN60216
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03724
RI
Other
Enumeration date
02/27/2023
Last updated
10/22/2023
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