Individual
AMBROISE A TANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 AMESBURY ST, DRACUT, MA 01826-5648
(978) 844-0328
(781) 558-9157
Mailing address
210 AMESBURY ST, DRACUT, MA 01826-5648
(978) 844-0328
(781) 558-9157
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023207485
MA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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