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NPI Code Detail

MEDICARE: TANYA L FABIANO

MEDICARE: TANYA L FABIANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN212437MA

General Provider Information

NPI Number : 1477206209
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA L FABIANO
Provider Business Mailing Address
First Line : 290 LITTLETON RD UNIT 3
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-3429
Country : US
Telephone Number : 978-258-4734
Fax Number :
Provider Business Practice Location Address
First Line : 295 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2134
Country : US
Telephone Number : 978-937-6439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 05/04/2026

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Directions to “ TANYA L FABIANO ” Practice Location

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