Individual
MRS. TARA ELIZABETH BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
672 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5795
(401) 847-0159
(401) 846-0283
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00867
RI
363L00000X
Nurse Practitioner
RN257511
MA
Other
Enumeration date
11/20/2014
Last updated
09/01/2024
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