Healthcare Provider Details

I. General information

NPI: 1639310691
Provider Name (Legal Business Name): TAMMY ZARUBA CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2009
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 NICHOLS RD
FITCHBURG MA
01420-1914
US

IV. Provider business mailing address

10 BUTTERFLY LN
LUNENBURG MA
01462-4100
US

V. Phone/Fax

Practice location:
  • Phone: 978-878-8100
  • Fax: 978-878-8178
Mailing address:
  • Phone: 617-901-4404
  • Fax: 978-514-6324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN274124
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: