Individual
MS. LAURA SUSANNAH TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
100 DOW AVE, ARLINGTON, MA 02476-7142
(781) 643-0804
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8076
(617) 730-0902
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
236051
MA
Other
Enumeration date
03/05/2011
Last updated
07/17/2015
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