Provider Demographics
NPI:1467262055
Name:SPEZZANO, TAYLA (PA-S)
Entity type:Individual
Prefix:MS
First Name:TAYLA
Middle Name:
Last Name:SPEZZANO
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 JUDITH E DR
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-3851
Mailing Address - Country:US
Mailing Address - Phone:978-551-0636
Mailing Address - Fax:
Practice Address - Street 1:85 JUDITH E DR
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-3851
Practice Address - Country:US
Practice Address - Phone:978-551-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program