Provider Demographics
NPI:1720366719
Name:HUFTALEN, TARSHA MARIE (RN/NP)
Entity Type:Individual
Prefix:MRS
First Name:TARSHA
Middle Name:MARIE
Last Name:HUFTALEN
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SUMMER ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1491
Mailing Address - Country:US
Mailing Address - Phone:508-541-0004
Mailing Address - Fax:
Practice Address - Street 1:9 SUMMER ST
Practice Address - Street 2:SUITE 302
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1491
Practice Address - Country:US
Practice Address - Phone:508-541-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN259536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily