Doctor Name: | TOMOKO TAKANASHI |
NPI Number: | 1740549609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN264362 |
Business Practice Address: | 123 Baldpate Hill Rd Newton Center, MA - 024592853 |
Business Phone Number: | 6172445878 |
Business Fax Number: | 6172448805 |
Mailing Address: | 332 Franklin St Apt 600, CAMBRIDGE |
State: | MA |
Postal Code: | 021393298 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/14/2012 |
NPI Last Update Date: | 05/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN264362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |