Individual
DIANE TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1505 COMMONWEALTH AVE, BRIGHTON, MA 02135-3605
(617) 783-1441
(617) 783-1448
Mailing address
300 ROSEWOOD DR, STE. 104, DANVERS, MA 01923-1389
(978) 774-7243
(978) 774-7421
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
123730
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4355
BCBS OF MA
MA
Enumeration date
11/08/2005
Last updated
07/09/2007
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