Provider Demographics
NPI:1306159496
Name:KINYANJUI, TABBY W (NP)
Entity type:Individual
Prefix:
First Name:TABBY
Middle Name:W
Last Name:KINYANJUI
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 TENNIS PLAZA RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3355
Mailing Address - Country:US
Mailing Address - Phone:310-869-9786
Mailing Address - Fax:
Practice Address - Street 1:1 COURTHOUSE LN STE 3
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1744
Practice Address - Country:US
Practice Address - Phone:781-365-8936
Practice Address - Fax:855-879-0914
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2024-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2009006887363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care