Individual provider · NPI-1

Tammy Lee Baldassare, APRN

Nurse Practitioner, Family · Concord, NH

NPI number1114556198
StatusActive
Last updated in NPPESSep 1, 2020

Details

NPI
1114556198
Entity type
Individual (NPI-1)
Name
Tammy Lee Baldassare
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2020
Certification date
Sep 1, 2020
Last updated
Sep 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family064604-23NHYes

Practice location

30 Pillsbury St
Concord, NH 03301-3502

Phone 603-224-4093

Mailing address

30 Pillsbury St
Concord, NH 03301-3502

Phone 603-848-9450

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