Individual
TANYA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-5079
(978) 282-1371
Mailing address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-5079
(978) 282-1371
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2299794
MA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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