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Individual

MICHELLE TIFFANY LETENDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
70 JAMES ST STE 253, WORCESTER, MA 01603-1038
(508) 578-2010
(508) 578-2012
Mailing address
70 JAMES ST STE 253, WORCESTER, MA 01603-1038
(508) 578-2010
(508) 578-2012

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
205174
MA
363LN0000X
Neonatal Nurse Practitioner
205174
MA
363LN0005X
Critical Care Neonatal Nurse Practitioner
002769
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
205174
MA

Other

Enumeration date
10/29/2008
Last updated
02/28/2025
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