TARA CASELLA CPNP
NPI 1518260397
Nurse Practitioner - Pediatrics in Boston, MA
Active since December 16, 2010
About Tara Casella Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA CASELLA CPNP (NPI 1518260397) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (267766) and active in the NPI registry since December 2010.
NPPES Registry Identity
NPI1518260397
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTARA CASELLACredential: CPNP
Location Address300 1ST AVE, 4TH FLOORBoston, MA 02129-3109
Mailing Address300 1st Ave, 4th FloorBoston, MA 02129-3109 · (617) 952-5800
Phone(617) 952-5800
Sole ProprietorYes
Enumeration DateDecember 16, 2010
Last NPPES UpdateMarch 28, 2015
✔ NPI 1518260397 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · 267766
300 1ST AVE, Boston, MA 02129
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Pediatrics)
300 1ST AVE, SPAULDING REHABILITATION HOSPITAL- PEDIATRIC UNIT
BOSTON, MA 02129
BOSTON, MA 02129
Physical Medicine & Rehabilitation
300 1ST AVE, SRH SPAULDING REHAB HOSPITAL
BOSTON, MA 02129
BOSTON, MA 02129
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518260397, enumerated as an "individual" on December 16, 2010.
The provider is located at 300 1ST AVE 4TH FLOOR BOSTON, MA 02129 and the phone number is (617) 952-5800.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
