Individual
DIANNE M FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
206 MILL RD, SOUTHCOAST PHYSICIANS GROUP, INC., FAIRHAVEN, MA 02719-5252
(508) 973-3000
(508) 973-3057
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
177291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330175
—
MA
Enumeration date
06/26/2006
Last updated
03/21/2013
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