Provider Demographics
NPI:1326611385
Name:MARKOS, TANYA (FNP)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:MARKOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:LAMOUREUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:380R MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:171 BROADWAY STE 3
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-1095
Practice Address - Country:US
Practice Address - Phone:978-818-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAF07211577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily