Ms Laura Susannah Tannenbaum, NNP - Nurse Practitioner in Arlington, MA

Ms Laura Susannah Tannenbaum, NNP is a Nurse Practitioner - Neonatal based in Arlington, Massachusetts. Ms Laura Susannah Tannenbaum is licensed to practice in Massachusetts (license number 236051) and her current practice location is 100 Dow Ave, Arlington, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (781) 643-0804.

NPI number for Ms Laura Susannah Tannenbaum is 1861790479 and her current mailing address is 300 Longwood Ave, Boston, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861790479.

Contact Information

Ms Laura Susannah Tannenbaum, NNP
100 Dow Ave,
Arlington, MA 02476-7142
(781) 643-0804
Not Available

Map and Direction




Provider's Profile

Full NameMs Laura Susannah Tannenbaum
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location100 Dow Ave, Arlington, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861790479
  • Provider Enumeration Date: 03/05/2011
  • Last Update Date: 07/17/2015

Medical Identifiers

Medical identifiers for Ms Laura Susannah Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861790479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 236051 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Laura Susannah Tannenbaum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Laura Susannah Tannenbaum, NNP
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-8076
Ms Laura Susannah Tannenbaum, NNP
100 Dow Ave,
Arlington, MA 02476-7142

Ph: (781) 643-0804

Reviews and Comments


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