Individual
TASHIA KIARA PRINCE-LACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
830 HARRISON AVE, 3RD FL, MOAKLEY BLDG, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2274106
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2274106
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110122575A
—
MA
Enumeration date
03/06/2017
Last updated
04/10/2024
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