Active NPIIndividual providerSole proprietor

Ms. Laura S Tannenbaum, NNP

Nurse Practitioner, Neonatal in Arlington, Massachusetts

NPI Number1861790479
Practice location
100 Dow Ave, Arlington, MA 02476-7142
Fax
—
Last updated
July 17, 2015

Laura Susannah Tannenbaum is a Nurse Practitioner, Neonatal based in Arlington, MA. Laura Susannah Tannenbaum practices in Arlington, MA and has the professional credentials of NNP. The NPI Number for Laura Susannah Tannenbaum is 1861790479 and holds a License No. 236051 (MA). The current practice location address for Laura Susannah Tannenbaum is 100 Dow Ave, Arlington, MA 02476-7142 and can be reached out via phone at 781-643-0804.

Provider Profile Details

NPI Number
1861790479
Provider Name
Laura Susannah Tannenbaum
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
100 Dow Ave, Arlington, MA 02476-7142
Phone Number
781-643-0804
Primary Taxonomy
Nurse Practitioner, Neonatal · 363LN0000X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2011
Last Update Date
July 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Dow Ave
Arlington, MA 02476-7142
Zip
02476-7142
Phone Number
781-643-0804
Arlington, MA 02476Get directions →

Provider Business Mailing Address Details

Address
300 Longwood Ave
Boston, MA 02115-5724
City
Boston
State
MA
Zip
02115-5724
Phone Number
617-355-8076
Fax Number
617-730-0902

License Information

License Number
236051
License State
MA
Taxonomy
Nurse Practitioner, Neonatal · 363LN0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Laura S Tannenbaum, NNP?

The NPI number of Ms. Laura S Tannenbaum, NNP is 1861790479. It was assigned on March 5, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Laura S Tannenbaum, NNP?

Ms. Laura S Tannenbaum, NNP is registered under the primary taxonomy Nurse Practitioner, Neonatal (code 363LN0000X), licensed in MA under license number 236051.

Where does Ms. Laura S Tannenbaum, NNP practice?

The practice location is 100 Dow Ave, Arlington, MA 02476-7142. The office can be reached at 781-643-0804 (phone).

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 1861790479 directly on the NPPES registry website.

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