Individual
TAMMY JO MCCAULEY-MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN CCM
Contact information
Practice address
402 GOODRICH AVE, KITTERY, ME 03904
(207) 438-2354
(401) 841-2118
Mailing address
93 WILSON RD, KITTERY, ME 03904-5553
(207) 451-3174
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN178262
MA
163WC0400X
Case Management Registered Nurse
Primary
RN44730
ME
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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