Provider Demographics
NPI:1831478486
Name:TUZMAN, ILONA (NP)
Entity Type:Individual
Prefix:MRS
First Name:ILONA
Middle Name:
Last Name:TUZMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ILONA
Other - Middle Name:
Other - Last Name:KOVTUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1319 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-8917
Mailing Address - Country:US
Mailing Address - Phone:508-879-5111
Mailing Address - Fax:508-879-5115
Practice Address - Street 1:1319 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-8917
Practice Address - Country:US
Practice Address - Phone:508-879-5111
Practice Address - Fax:508-879-5115
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-14
Last Update Date:2011-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2258644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily