Individual
SANA S TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229110
MA
363L00000X
Nurse Practitioner
229110
MA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
229110
MA
Other
Enumeration date
06/20/2008
Last updated
08/18/2009
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