Prince-Lacombe, Tashia Kiara
Prince-Lacombe, Tashia Kiara is an individual health care provider with primary practice located at 830 Harrison Ave, 3Rd Fl Moakley Bldg, Boston MA 02118-2905. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Prince-Lacombe, Tashia Kiara can be contacted via phone (617) 638-6428.Contact Information
Primary practice address
830 Harrison Ave, 3Rd Fl Moakley Bldg
Boston MA 02118-2905
Phone: (617) 638-6428
Fax: (617) 638-5756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN2274106 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2274106 | Massachusetts |
Profile Details
| NPI number | 1487194833 |
|---|---|
| LBN Legal business name | Prince-Lacombe, Tashia Kiara |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2017 |
| Last updated | Apr 10th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487194833 | NPPES |
| Massachusetts | MEDICAID | 110122575A |
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