Individual provider · Type 1 NPI

Michelle Ann Tackie, RN

Registered Nurse · Hyde Park, MA

NPI number 1962741165 Active

Practice location

75 Como Rd
Hyde Park, MA 02136-1904

Fax (617) 364-7198

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XS34977173 (MA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1962741165

Michelle Ann Tackie, RN's National Provider Identifier is 1962741165, issued on Feb 7, 2013. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Hyde Park, MA. The record was last updated on Feb 7, 2013.