Individual
TENDAI H LUPAFYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF ORTHOPEDICS, WORCESTER, MA 01605-2903
(508) 334-1886
(508) 334-9769
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
250596
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN250596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086743A
—
MA
Enumeration date
06/16/2010
Last updated
03/29/2022
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