Individual
MS. TAMMY ZARUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN274124
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MZ0751950J
STAE CONTROLLED SUBSTANCE
MA
01
—
RN274124
STATE LICENSE
MA
Enumeration date
03/20/2009
Last updated
10/03/2024
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