Individual
MS. ELLEN CATHLEEN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN PC NP
Contact information
Practice address
572 WASHINGTON ST, WELLESLEY, MA 02482-6418
(617) 674-2033
(617) 674-2033
Mailing address
572 WASHINGTON ST, WELLESLEY, MA 02482-6418
(617) 674-2033
(617) 674-2033
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
205994
MA
Other
Enumeration date
11/08/2006
Last updated
09/11/2012
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