Individual
ERICA TASSINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MGH 55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1793
(617) 643-1156
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2266339
MA
363LF0000X
Family Nurse Practitioner
2266339
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101398A
—
MA
Enumeration date
09/16/2014
Last updated
02/18/2022
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