Kathleen Tyrrell

NPI 1720230014 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1720230014
Gender Female
Enumeration Date 10/17/2008
Last Updated 10/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
631 LINCOLN ST
WORCESTER MA, 01605-2010, US
Phone (508) 854-3300
Fax
Business Location
631 LINCOLN ST
WORCESTER MA, 01605-2010, US
Phone (508) 854-3300
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State Massachusetts
License Number 133871
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According to our database, Kathleen Tyrrell NPI is 1720230014, taxonomy code is 363LW0102X and license number is 133871, license state is located at Massachusetts. Kathleen Tyrrell physically located at 631 Lincoln St, Worcester MA, 01605-2010. NPI Number Kathleen Tyrrell has the Individual type.

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1720230014 NPI number is provided on an as is basis without warranty of any kind. 1720230014 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Tyrrell are for informational purposes only.