Individual
TARA NIMIROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PRACTIONER
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 235-5262
(508) 235-5275
Mailing address
819 WORCESTER ST, STE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
198513
MA
363LA2100X
Acute Care Nurse Practitioner
37254
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29071
BC
—
01
—
412033
B CHIP
—
Enumeration date
07/13/2006
Last updated
02/26/2013
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