| Doctor Name: | MRS. TANYA ANN COUTU |
| NPI Number: | 1013201177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC, RN |
| License Number: | RN255877 |
| Business Practice Address: | 33 Bartlett St Ste 108 Lowell, MA - 018521300 |
| Business Phone Number: | 9784531811 |
| Business Fax Number: | 9784529111 |
| Mailing Address: | 33 Bartlett St Ste 108, LOWELL |
| State: | MA |
| Postal Code: | 018521300 |
| Phone Number: | 9784531811 |
| Fax Number: | 9784529111 |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 06/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN255877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |