MISS Michelle Ann Tackie, RN
NPI #1962741165 in Hyde Park, Massachusetts
Provider Information
- NPI Number
- 1962741165
- Entity Type
- Individual
- Name
- MISS Michelle Ann Tackie, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Feb 7, 2013
- Last Updated
- Feb 7, 2013
Practice Location
- Address
- 75 COMO RD
- City
- Hyde Park
- State
- Massachusetts
- ZIP Code
- 02136-1904
- Phone
- (617) 953-5058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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