Individual provider · Type 1 NPI

Tara L. Deso, NP

Gerontology Nurse Practitioner · Worcester, MA

NPI number 1306490396 Active

Practice location

385 Grove St
Worcester, MA 01605-3924

Fax (508) 853-7149

Mailing address

5 Neponset St, Wot 2nd Fl, Ste C203
Worcester, MA 01606-2714

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN284675 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1306490396

Tara L. Deso, NP's National Provider Identifier is 1306490396, issued on Jul 29, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Worcester, MA. The record was last updated on Feb 25, 2020.