Individual
THANH TAM T HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 949-8812
(508) 943-2605
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN282151
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN282151
MA
Other
Enumeration date
03/24/2018
Last updated
02/24/2022
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