Tara L Killeen in Boston - Nurse Practitioner
Tara L Killeen - NPI 1588688865
Tara L Killeen is a Nurse Practitioner in Boston, Massachusetts. Tara L Killeen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tara L Killeen is 1588688865. The last update date is 2012-04-13.
Tara L Killeen's current location address is 165 Cambridge St, Boston, Massachusetts. You can contact this provider via phone number 6177243909 and fax number 6177243944. The mailing address for Tara L Killeen is 165 Cambridge St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara L Killeen |
|---|---|
| Address | 165 Cambridge St, Boston, Massachusetts |
| Phone Number | 6177243909 |
| Fax Number | 6177243944 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1588688865 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2012-04-13 |
Provider Mailing Address Detail
| Address | 165 Cambridge St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142783 |
| Phone Number | 6177243909 |
| Fax Number | 6177243944 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 190699 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 343561 | MA | -- |
Post Comment/ Review Below
What is the Tara L Killeen's unique identification number?
The Tara L Killeen has been assigned the NPI (National Provider Identifier) Number 1588688865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Tara L Killeen?
The Tara L Killeen is situated at 165 Cambridge St, in the city of Boston, state of MA, with the zip code 21142783.
What is Tara L Killeen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tara L Killeen's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Tara L Killeen receive the assignment of its 1588688865 from the Centers for Medicare & Medicaid Services?
The Tara L Killeen was issued its 1588688865 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date was the information pertaining to Tara L Killeen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tara L Killeen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-13.