Individual
TANISHA LEE CAMACHO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 N WESTFIELD ST, FEEDING HILLS, MA 01030-1606
(413) 831-7831
(413) 831-7832
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2318093
MA
Other
Enumeration date
09/27/2021
Last updated
11/15/2022
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