| Doctor Name: | DIANE MARIE POULIN |
| NPI Number: | 1013130921 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,NP |
| License Number: | 127457 |
| Business Practice Address: | 2014 Washington St Newton Wellesley Hospital Dept. Of Anesthesia Newton, MA - 024621607 |
| Business Phone Number: | 6172436298 |
| Business Fax Number: | 6172436184 |
| Mailing Address: | 2014 Washington St, Newton Wellesley Hospital Dept. Of Anesthesia NEWTON |
| State: | MA |
| Postal Code: | 024621607 |
| Phone Number: | 6172436298 |
| Fax Number: | 6172436184 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 127457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |