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MS. LEE ANN TATA NP NPI 1093864787


NPI Information

NPI: 1093864787
Provider Name: MS. LEE ANN TATA, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
950 WINTER ST
WALTHAM, MA
ZIP 02451
Phone: (781) 472-8517
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MS. Lee Ann Tata, NP is a gerontology nurse practitioner in Waltham, MA. MS. Lee Ann Tata, NP NPI is 1093864787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

950 WINTER ST
WALTHAM, MA
ZIP 02451-424
Phone: (781) 472-8517

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology200889MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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