Individual
MRS. PATRICIA ANN TIVNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 MAIN ST, WEST NEWBURY, MA 01985-1420
(978) 363-5553
(978) 363-2435
Mailing address
PO BOX 956, WEST NEWBURY, MA 01985-0956
(978) 363-5553
(978) 363-2435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235078
MA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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