Tara L Deso, NP
Nurse Practitioner, Gerontology in Worcester, Massachusetts
1306490396- Practice location
- 385 Grove St, Worcester, MA 01605-3924
- Phone
- 508-595-2000
- Fax
- 508-853-7149
- Last updated
- February 25, 2020
Tara L Deso is a Nurse Practitioner, Gerontology based in Worcester, MA. Tara L Deso practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Tara L Deso is 1306490396 and holds a License No. RN284675 (MA). The current practice location address for Tara L Deso is 385 Grove St, Worcester, MA 01605-3924 and can be reached out via phone at 508-595-2000 and via fax at 508-853-7149.
Provider Profile Details
- NPI Number
- 1306490396
- Provider Name
- Tara L Deso
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 385 Grove St, Worcester, MA 01605-3924
- Phone Number
- 508-595-2000
- Fax Number
- 508-853-7149
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Other Names
- Tara L Mccue (Former Name)
- Provider Enumeration Date
- July 29, 2019
- Last Update Date
- February 25, 2020
- Certification Date
- February 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 Grove St
Worcester, MA 01605-3924 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-3924
- Phone Number
- 508-595-2000
- Fax Number
- 508-853-7149
Provider Business Mailing Address Details
- Address
- 5 Neponset St
Wot 2ND Fl, Ste C203
Worcester, MA 01606-2714 - City
- Worcester
- State
- MA
- Zip
- 01606-2714
- Phone Number
- 508-595-2000
- Fax Number
- 508-853-7149
License Information
- License Number
- RN284675
- License State
- MA
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Worcester, MA
View all Nurse Practitioner, Gerontology providers in Worcester →- Angelina M Coco, DNPNurse Practitioner, Gerontology · NPI 1902411010
- Elizabeth M Vequist, DNPNurse Practitioner, Gerontology · NPI 1588370936
- Kim Beaudry, NPNurse Practitioner, Gerontology · NPI 1083253355
- Mary E Burke, NPNurse Practitioner, Gerontology · NPI 1255311270
- Mrs. Helen D Gilbert, NPNurse Practitioner, Gerontology · NPI 1447366489
- Terri-Lyn BaronNurse Practitioner, Gerontology · NPI 1538422555
Frequently Asked Questions
What is the NPI number of Tara L Deso, NP?
The NPI number of Tara L Deso, NP is 1306490396. It was assigned on July 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Tara L Deso, NP?
Tara L Deso, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN284675.
Where does Tara L Deso, NP practice?
The practice location is 385 Grove St, Worcester, MA 01605-3924. The office can be reached at 508-595-2000 (phone) or 508-853-7149 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306490396 directly on the NPPES registry website.