Individual
ELIZABETH TADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 MAIN ST, WINCHESTER, MA 01890-1961
(781) 382-3200
Mailing address
955 MAIN ST, WINCHESTER, MA 01890-1961
(781) 382-3200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2313062
MA
Other
Enumeration date
11/18/2019
Last updated
01/11/2023
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