Healthcare Provider Details

I. General information

NPI: 1720366719
Provider Name (Legal Business Name): TARSHA MARIE HUFTALEN RN/NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 10/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 SUMMER ST SUITE 302
FRANKLIN MA
02038-1491
US

IV. Provider business mailing address

9 SUMMER ST SUITE 302
FRANKLIN MA
02038-1491
US

V. Phone/Fax

Practice location:
  • Phone: 508-541-0004
  • Fax:
Mailing address:
  • Phone: 508-541-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN259536
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: