Miss Michelle A Tackie, RN
Registered Nurse in Hyde Park, Massachusetts
1962741165- Practice location
- 75 Como RD, Hyde Park, MA 02136-1904
- Phone
- 617-953-5058
- Fax
- 617-364-7198
- Last updated
- February 7, 2013
Michelle Ann Tackie is a Registered Nurse based in Hyde Park, MA. Michelle Ann Tackie practices in Hyde Park, MA and has the professional credentials of RN. The NPI Number for Michelle Ann Tackie is 1962741165 and holds a License No. S34977173 (MA). The current practice location address for Michelle Ann Tackie is 75 Como RD, Hyde Park, MA 02136-1904 and can be reached out via phone at 617-953-5058 and via fax at 617-364-7198.
Provider Profile Details
- NPI Number
- 1962741165
- Provider Name
- Michelle Ann Tackie
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Como RD, Hyde Park, MA 02136-1904
- Phone Number
- 617-953-5058
- Fax Number
- 617-364-7198
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 7, 2013
- Last Update Date
- February 7, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Como RD
Hyde Park, MA 02136-1904 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-1904
- Phone Number
- 617-953-5058
- Fax Number
- 617-364-7198
Provider Business Mailing Address Details
- Address
- 75 Como RD
Hyde Park, MA 02136-1904 - City
- Hyde Park
- State
- MA
- Zip
- 02136-1904
- Phone Number
- 617-953-5058
- Fax Number
- 617-364-7198
License Information
- License Number
- S34977173
- License State
- MA
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Michelle A Tackie, RN?
The NPI number of Miss Michelle A Tackie, RN is 1962741165. It was assigned on February 7, 2013 and is currently active in the NPPES registry.
What is the specialty of Miss Michelle A Tackie, RN?
Miss Michelle A Tackie, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number S34977173.
Where does Miss Michelle A Tackie, RN practice?
The practice location is 75 Como RD, Hyde Park, MA 02136-1904. The office can be reached at 617-953-5058 (phone) or 617-364-7198 (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 1962741165 directly on the NPPES registry website.