Ms Lee Ann Tata, NP - Nurse Practitioner in Waltham, MA

Ms Lee Ann Tata, NP is a Nurse Practitioner - Gerontology based in Waltham, Massachusetts. Ms Lee Ann Tata is licensed to practice in Massachusetts (license number 200889) and her current practice location is 950 Winter St, Waltham, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (781) 472-8517.

NPI number for Ms Lee Ann Tata is 1093864787 and her current mailing address is 710 Elm St, East Bridgewater, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093864787.

Contact Information

Ms Lee Ann Tata, NP
950 Winter St,
Waltham, MA 02451-1424
(781) 472-8517
Not Available



Provider's Profile

Full NameMs Lee Ann Tata
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location950 Winter St, Waltham, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093864787
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Lee Ann Tata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093864787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 200889 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lee Ann Tata is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Lee Ann Tata, NP
710 Elm St,
East Bridgewater, MA 02333-1006

Ph: () -
Ms Lee Ann Tata, NP
950 Winter St,
Waltham, MA 02451-1424

Ph: (781) 472-8517

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