Individual provider · Type 1 NPI
Tara Casella, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1518260397
Active
Practice location
300 1st Ave, 4th Floor
Boston, MA 02129-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 267766 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1518260397
Tara Casella, CPNP's National Provider Identifier is 1518260397, issued on Dec 16, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Mar 28, 2015.