Individual
COURTNEY TACVORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
37 FRIEND ST, LYNN, MA 01902
(978) 712-3360
Mailing address
37 FRIEND ST, LYNN, MA 01902-3068
(516) 581-6226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2269734
MA
Other
Enumeration date
09/05/2012
Last updated
01/07/2021
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