Doctor Name: | DIANE FUREY |
NPI Number: | 1154729283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN264889 |
Business Practice Address: | 230 Washington St Unit D Marblehead, MA - 019453366 |
Business Phone Number: | 6178162460 |
Business Fax Number: | |
Mailing Address: | 230 Washington St, Unit D MARBLEHEAD |
State: | MA |
Postal Code: | 019453366 |
Phone Number: | 6178162460 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2014 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | RN264889 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |