Individual
DR. ELIZABETH A TATEOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(860) 937-0378
Mailing address
354 MAIN ST UNIT 5, GARDNER, MA 01440-3055
(860) 937-0378
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2336656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2336656
STATE LICENSE
MA
Enumeration date
09/11/2016
Last updated
08/24/2023
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