Individual
TARA A FORREST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1385 LAKEVIEW AVE, DRACUT, MA 01826-3414
(978) 957-6675
Mailing address
1385 LAKEVIEW AVE, DRACUT, MA 01826-3414
(978) 957-6675
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
260372
MA
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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