Individual
MS. DIANE MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
820 PEARL ST, SUITE 4, BROCKTON, MA 02301-4411
(508) 583-9800
Mailing address
102 SUMMER ST, KINGSTON, MA 02364-1419
(207) 310-0824
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
RN118624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN118624
RN
MA
Enumeration date
06/25/2012
Last updated
06/25/2012
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