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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIZI K FOBANJONG, PMHNP

Active

TIZI K FOBANJONG, PMHNP is a Child & Adolescent Psychiatric Nurse healthcare provider located in WORCESTER, Massachusetts. NPI 1790517472 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · WORCESTER, MA

Registration Details

NPI Number
1790517472
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2024 (1.9968518690072 yrs)
Last Updated
Sep 20, 2024
License
RN2342607 (MA)

Practice Information

Address
100 GROVE ST STE 203
WORCESTER, MA, 016052630
Browse MA providers · Browse ZIP 01605
Phone
5082508378
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in WORCESTER, MA

Name Credential NPI
MRS. PAULA L DIPERRI M.S. RN 1255445532
DOREEN FRANCES HARDY LICSW 1225180839
MS. KIMBERLY BETH ABDOW N.P. 1003007477
MRS. CHRISSY MARIE RYAN RN 1093053993
JEFFREY HARRINGTON RN 1821330812
SHARON TIERNAN RN 1922340918
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.