Provider Demographics
NPI:1063936847
Name:TASCHNER, MARY ALICE (DNP, ANP-BC)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ALICE
Last Name:TASCHNER
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Gender:F
Credentials:DNP, ANP-BC
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Mailing Address - Street 1:PFIZER BIOTECH OCCUPATIONAL HEALTH AND WELLNESS A107
Mailing Address - Street 2:1 BURTT ROAD
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1647
Mailing Address - Country:US
Mailing Address - Phone:978-247-2311
Mailing Address - Fax:978-247-1738
Practice Address - Street 1:1 BURTT RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5901
Practice Address - Country:US
Practice Address - Phone:978-247-2311
Practice Address - Fax:978-247-1738
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MARN127789363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health