person
Tara L Deso, NP
Gerontology Nurse Practitioner in Worcester, Massachusetts
NPI 1306490396

Tara L Deso is a Gerontology Nurse Practitioner based in Worcester, MA and is specialized in Gerontology. 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 (Massachusetts).

The current practice location address for Tara L Deso is 385 Grove St, Worcester, MA and can be reached out via phone at 508-595-2000 and via fax at 508-853-7149. You can also correspond with Tara L Deso through the mailing address at 5 NEPONSET ST, WORCESTER, MA - 01606-2714 (mailing address contact number: 508-595-2000).

Location: 385 Grove St, Worcester, MA, 01606-2714
person
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, 01606-2714
Phone Number
508-595-2000
Fax Number
508-853-7149
Provider Enumeration Date
07/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110158765A 05 MA
institution
Provider Business Practice Location Address Details
Address
385 Grove St
City
State
Zip
01605-3924
Phone Number
508-595-2000
Fax Number
508-853-7149
person
Provider Business Mailing Address Details
Address
385 Grove St
City
State
Zip
01605-3924
Phone Number
508-595-2000
Fax Number
508-853-7149
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN284675 (Massachusetts)
Definition
Definition to come...
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