MEDICARE: TATIANA A ZAKIROVA LPN

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
1	164W00000X	Licensed Practical Nurse	LN85533	MA

General Provider Information

NPI Number	:	1649115692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA A ZAKIROVA LPN

Provider Business Mailing Address
First Line	:	46 JOANNA DR
Second Line	:
City	:	FOXBORO
State	:	MA
Zip	:	02035-3042
Country	:	US
Telephone Number	:	508-851-4313
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 JOANNA DR
Second Line	:
City	:	FOXBORO
State	:	MA
Zip	:	02035-3042
Country	:	US
Telephone Number	:	508-851-4313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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