TYRA A GOOGE CPNP-AC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1245183011- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP-AC
- Status
- Active
Contact & Location
- Address
- 850 HARRISON AVE. YACC 4, BOSTON, MA, 02118
- Phone
- (617) 414-4359
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: MA #RN2333352
All Addresses
MAILING
70 SHEAFE ST
MALDEN, MA, 021486029