Doctor Name: | NINA LEONA DIGGS |
NPI Number: | 1124355649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN252989 |
Business Practice Address: | 529 Main St Suite 216 Charlestown, MA - 021291125 |
Business Phone Number: | 6176003195 |
Business Fax Number: | |
Mailing Address: | 88 Moreland St, ROXBURY |
State: | MA |
Postal Code: | 021192326 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/04/2009 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN252989 |
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: |