Diana L Fairfax NP

NPI 1023016953 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023016953
Gender Female
Enumeration Date 07/13/2005
Last Updated 04/14/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
153 E. WASHINGTON STREET
N. ATTLEBORO MA, 02760, US
Phone (508) 699-7546
Fax (508) 699-7570
Business Location
153 E. WASHINGTON STREET
N. ATTLEBORO MA, 02760, US
Phone (508) 699-7546
Fax (508) 699-7570
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 161165
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According to our database, Diana L Fairfax NP NPI is 1023016953, taxonomy code is 363L00000X and license number is 161165, license state is located at Massachusetts. Diana L Fairfax NP physically located at 153 E. Washington Street, N. Attleboro MA, 02760. NPI Number Diana L Fairfax NP has the Individual type.

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1023016953 NPI number is provided on an as is basis without warranty of any kind. 1023016953 is maintained by the National Plan & Provider Enumeration System. The contents of Diana L Fairfax NP are for informational purposes only.