Individual
TANEESHA LYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 371-3000
Mailing address
30 FENDALE AVE, BOSTON, MA 02124-4618
(857) 381-3534
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2324490
MA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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