Individual
TARA LYNN STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8800
(978) 557-8856
Mailing address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8800
(978) 557-8856
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2270504
MA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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