Casella, Tara

Casella, Tara is an sole proprietor health care provider with primary practice located at 300 1St Ave 4Th Floor, Boston MA 02129-3109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Casella, Tara can be contacted via phone (617) 952-5800.

Contact Information

Primary practice address
300 1St Ave 4Th Floor Boston MA 02129-3109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 267766 Massachusetts

Profile Details

NPI number 1518260397
LBN Legal business name Casella, Tara
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2010
Last updated Mar 28th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers