Individual
DIANA L FAIRFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
153 E. WASHINGTON STREET, N. ATTLEBORO, MA 02760
(508) 699-7546
(508) 699-7570
Mailing address
153 E. WASHINGTON STREET, N. ATTLEBORO, MA 02760
(508) 699-7546
(508) 699-7570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
161165
MA
363L00000X
Nurse Practitioner
Primary
RN161165
MA
Other
Enumeration date
07/13/2005
Last updated
04/14/2015
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