Individual provider · Type 1 NPI

Lee Ann Tata, NP

Gerontology Nurse Practitioner · Waltham, MA

NPI number 1093864787 Active

Practice location

950 Winter St
Waltham, MA 02451-1424

Mailing address

710 Elm St
East Bridgewater, MA 02333-1006

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X200889 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1093864787

Lee Ann Tata, NP's National Provider Identifier is 1093864787, issued on Jan 10, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waltham, MA. The record was last updated on Jul 8, 2007.