Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Laura Susannah Tannenbaum, NNP

Individual provider Neonatal Nurse Practitioner · NPI 1861790479

MS. Laura Susannah Tannenbaum, NNP is a Nurse Practitioner in Arlington, Massachusetts. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
25
Licensed in
MA
In the registry since
2011

Practice location Address checks out

100 Dow Ave
Arlington, MA 02476-7142
Phone: (781) 643-0804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 236051 (MA)

Record details

NPI number1861790479
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP
Sole proprietorYes
NPI enumeratedMarch 5, 2011
Last updated in NPPESJuly 17, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount