Individual provider · NPI-1

Tara Libby, RN

Registered Nurse, Psych/Mental Health, Adult · Norwood, MA

NPI number1255641676
StatusActive
Last updated in NPPESOct 19, 2010

Details

NPI
1255641676
Entity type
Individual (NPI-1)
Name
Tara Libby
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2010
Last updated
Oct 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, AdultMA2259413MAYes

Practice location

190 Lenox St
Norwood, MA 02062-3416

Phone 781-769-8670

Mailing address

4 Douglas Dr
East Bridgewater, MA 02333-2548

Phone 781-686-2859 · Fax 781-769-0197

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